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NCLEX Questions (Maternity-Newborn Nursing)
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NCLEX Questions (Maternity-Newborn Nursing)
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A nurse working in the prenatal clinic is evaluating the nutritional status of four adolescents.Which adolescents have nutrition-related risk factors? Select all that apply .
a. The adolescent who smokes.
b. The adolescent who is 10 pounds underweight.
c. The adolescent of normal height and weight.
d. The adolescent who is diabetic.
The adolescent who smokes.
The adolescent who is diabetic.
The adolescent who is 10 pounds underweight.
Rationale: Important nutrition-related factors to assess in pregnant adolescents include low
prepregnant weight, low weight gain during pregnancy , young age at menarche, smoking,
excessive prepregnant weight, anemia, unhealthy lifestyle (drugs or alcohol use), chronic
disease, and history of an eating disorder .
A nurse is evaluating client teaching about nutrition. The nurse knows the teaching has been
effective when the client states:
a. "I should take my iron half an hour before breakfast."
b. "I should take my iron right after a meal."
c. "I should take my iron and vitamin whenever I remember them."
d. "Iron is best absorbed when taken with milk."
"I should take my iron half an hour before breakfast."
Rationale: Iron is best absorbed in an acid environment, and should be taken on an empty
stomach. Calcium interferes with the absorption of iron.
The nurse's teaching plan for the prenatal client who is a vegan should pay particular attention
to which of the following? Select all that apply .
a. Need for nutritional supplements.
b. Animal sources of complete protein.
c. Suggestions for ensuring adequate caloric intake.
d. Plant sources of complete protein.
Plant sources of complete protein.
Suggestions for ensuring adequate caloric intake.
Need for nutritional supplements.
Rationale: V egans are "pure" vegetarians who will not eat any food from animal sources. The
expectant woman who is vegan must eat the proper combination of foods to obtain adequate
nutrients. She will need to combine foods from dif ferent vegetable sources to get enough
complete proteins. Obtaining suf ficient calories to ensure adequate weight gain might be
difficult, because vegan diets tend to be high in fiber , and therefore filling. Because the best
sources of iron, zinc, and vitamin B12 are animal products, vegan diets also might be low in these
minerals. If she uses no soy milk, she also needs daily supplements of 1,200 mg of calcium and
10 mg of vitamin D.
A gravida 2 para 1 prenatal client's ultrasound reveals twins. Her prepregnant weight is within
normal limits. What is the pattern of weight gain that the nurse should recommend to the client
during the second and third trimesters?
a. 1 pound every other week.
b. 1 pound per week.
c. 1.5 pounds every other week.
d. 1.5 pounds per week.
1.5 pounds per week.
Rationale: For a normal-weight woman, the ideal pattern of weight gain during pregnancy is a
gain of 3.5-5 pounds (1.6-2.3 kg) during the first trimester , followed by a gain of about 1 pound
(0.5 kg) per week during the second and third trimesters. A normal-weight woman who is
expecting twins should gain about 1.5 pounds per week during the second and third trimesters of
her pregnancy .
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