Exam (elaborations)
Chapter 14 Nutrition for Childbearing
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Chapter 14 Nutrition for Childbearing
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Chapter 14: Nutrition for ChildbearingTest Bank
MULTIPLE CHOICE
1. Which pregnant woman should restrict her weight gain during pregnancy?
a. Woman pregnant with twins
b. Woman in early adolescence
c. Woman shorter than 62 inches or 157 cm
d. Woman who was 20 pounds overweight before pregnancy
ANS: D
Feedback
A A higher weight gain in twin gestations may help prevent low birth weights.
B Adolescents need to gain weight toward the higher acceptable range, which will provide
for their own growth as well as for fetal growth.
C In the past women of short stature were advised to restrict their weight gain; however,
evidence to support these guidelines has not been found.
D A weight gain of 5 to 9 kg will provide sufficient nutrients for the fetus. Overweight and
obese women should be advised to lose weight prior to conception in order to achieve
the best pregnancy outcomes.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 280
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
2. The major source of nutrients in the diet of a pregnant woman should be composed of
a. Simple sugars
b. Fats
c. Fiber
d. Complex carbohydrates
ANS: D
Feedback
A The most common simple carbohydrate is table sugar, which is a source of energy but
does not provide any nutrients.
B Fats provide 9 kcal in each gram, in contrast to carbohydrates and proteins, which
provide only 4 kcal in each gram.
C Fiber is supplied mainly by the complex carbohydrates.
D Complex carbohydrates supply the pregnant woman with vitamins, minerals, and fiber.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 281
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
3. To increase the absorption of iron in a pregnant woman, the iron preparation should be given with
a. Milk
b. Tea
c. Orange juice
, d. Coffee
ANS: C
Feedback
A The calcium and phosphorus in milk decrease iron absorption.
B Tannin in the tea reduces the absorption of iron.
C A vitamin C source may increase the absorption of iron.
D A decreased intake of caffeine is recommended in pregnancy.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 285
OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity
4. Health teaching during routine prenatal care includes providing patients with the recommended weight
gain during pregnancy. For a woman with a single fetus who begins pregnancy at a normal weight, this
amount is lb.
a. 10 to 15
b. 15 to 20
c. 37 to 50
d. 28 to 40
ANS: D
Feedback
A A 10-lb weight gain is not sufficient to meet the needs of the pregnancy.
B A 15- to 20-lb weight gain is recommended for women who are overweight before the
pregnancy.
C A 37- to 50-lb weight gain is recommended for women who are carrying twins. When
women with a multifetal pregnancy gain the recommended amount of weight, they are
less likely to deliver prior to 32 weeks and infants are more likely to weigh more than
2500 gm.
D A weight gain of 28 to 40 lb is believed to reduce intrauterine growth retardation that
may result from inadequate nutrition and also allows variations in individual needs. No
precise weight gain is appropriate for every woman.
PTS: 1 DIF: Cognitive Level: Knowledge REF: p. 279
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
5. A pregnant woman’s diet may not meet her need for folates. A good source of this nutrient is
a. Chicken
b. Cheese
c. Potatoes
d. Green leafy vegetables
ANS: D
Feedback
A Chicken is an excellent source of protein, but it is poor in folates.
B Cheese is an excellent source of calcium, but it is poor in folates.
C Potatoes contain carbohydrates and vitamins and minerals, but are poor in folates.
D Sources of folates include green leafy vegetables, whole grains, fruits, liver, dried peas,
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