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9/7/24, 6:49 C9 - maternal baby testPM bank
MATERNAL CHILD NURSING CARE 6TH EDITION PERRY TEST BANK
Chapter 09: Maternal and Fetal Nutrition
Perry: Maternal Child Nursing Care, 6th Edition
MULTIPLE CHOICE
1. A 22-year-old woman pregnant with a single fetus has a preconception body mass index
(BMI) of 24. When she was seen in the clinic at 14 weeks of gestation, she had gained 1.8 kg
(4 lbs) since conception. How would the nurse interpret this?
a. This weight gain indicates possible gestational hypertension.
b. This weight gain indicates that the woman’s infant is at risk for intrauterine growth
restriction (IUGR).
c. This weight gain cannot be evaluated until the woman has been observed for
several more weeks.
d. The woman’s weight gain is appropriate for this stage of pregnancy.
ANS: D
The statement “The woman’s weight gain is appropriate for this stage of pregnancy” is
accurate. This woman’s BMI is within the normal range. During the first trimester, the
average total weight gain is only 1 to 2 kg. Although weight gain does indicate possible
gestational hypertension, it does not apply to this patient. The desirable weight gain during
pregnancy varies among women. The primary factor to consider in making a weight gain
recommendation is the appropriateness of the prepregnancy weight for the woman’s height. A
commonly used method of evaluating the appropriateness of weight for height is the BMI.
Although weight gain does indicate risk for IUGR, this does not apply to this patient. Weight
gain should occur at a steady rate throughout the pregnancy. The optimal rate of weight gain
also depends on the stage of the pNreUgRnSaInNcGy.TB.COM
PTS: 1 DIF: Cognitive Level: Analysis
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
2. Which meal would provide the most absorbable iron?
a. Toasted cheese sandwich, celery sticks, tomato slices, and a grape drink
b. Oatmeal, whole wheat toast, jelly, and low-fat milk
c. Black bean soup, wheat crackers, orange sections, and prunes
d. Red beans and rice, cornbread, mixed greens, and decaffeinated tea
ANS: C
Food sources that are rich in iron include liver, meats, whole grain or enriched breads and
cereals, deep green leafy vegetables, legumes, and dried fruits. In addition, the vitamin C in
orange sections aids absorption. Dairy products and tea are not sources of iron.
PTS: 1 DIF: Cognitive Level: Comprehension OBJ: Nursing Process: Planning
MSC: Client Needs: Physiologic Integrity
3. A pregnant woman’s diet consists almost entirely of whole grain breads and cereals, fruits,
and vegetables. The nurse would be most concerned about this woman’s intake of:
a. calcium.
b. protein.
c. vitamin B12.
d. folic acid.
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, 9/7/24, 6:49 C9 - maternal baby test
PM bank
MATERNAL CHILD NURSING CARE 6TH EDITION PERRY TEST BANK
ANS: C
This diet is consistent with that followed by a strict vegetarian (vegan). Vegans consume only
plant products. Because vitamin B12 is found in foods of animal origin, this diet is deficient in
vitamin B12.
PTS: 1 DIF: Cognitive Level: Knowledge
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
4. A pregnant woman experiencing nausea and vomiting should:
a. drink a glass of water with a fat-free carbohydrate before getting out of bed in the
morning.
b. eat small, frequent meals (every 2 to 3 hours).
c. increase her intake of high-fat foods to keep the stomach full and coated.
d. limit fluid intake throughout the day.
ANS: B
Eating small, frequent meals is the correct suggestion for a woman experiencing nausea and
vomiting. A pregnant woman experiencing nausea and vomiting should avoid consuming
fluids early in the day or when nauseated, but should compensate by drinking fluids at other
times. A pregnant woman experiencing nausea and vomiting should reduce her intake of fried
and other fatty foods.
PTS: 1 DIF: Cognitive Level: Comprehension OBJ: Nursing Process: Planning
MSC: Client Needs: Physiologic Integrity
5. A pregnant woman reports that she is still playing tennis at 32 weeks of gestation. The nurse
would be most concerned that durNinUgRaSnINdGaTftBe.rCtOeMnnis matches this woman
consumes:
a. several glasses of fluid.
b. extra protein sources such as peanut butter.
c. salty foods to replace lost sodium.
d. easily digested sources of carbohydrate.
ANS: A
If no medical or obstetric problems contraindicate physical activity, pregnant women should
get 30 minutes of moderate physical exercise daily. Liberal amounts of fluid should be
consumed before, during, and after exercise because dehydration can trigger premature labor.
The woman’s calorie intake should be sufficient to meet the increased needs of pregnancy and
the demands of exercise.
PTS: 1 DIF: Cognitive Level: Comprehension OBJ: Nursing Process: Planning
MSC: Client Needs: Physiologic Integrity
6. Which statement made by a lactating woman would lead the nurse to believe that the woman
might have lactose intolerance?
a. “I always have heartburn after I drink milk.”
b. “If I drink more than a cup of milk, I usually have abdominal cramps and
bloating.”
c. “Drinking milk usually makes me break out in hives.”
d. “Sometimes I notice that I have bad breath after I drink a cup of milk.”
ANS: B
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