©THEBRIGHTSTARS 2024
NUR4467 M2 Exam Questions With Correct
Answers
Caloric energy needs for pregnant woman? - answer✔- 25 Kcal/kg/day
- 2000 calories/day
Energy intake increase of 330 kcal more than woman's nonpregnant intake recommended
Food Guide/Recommendations for pregnant women - how many servings of dairy, protein,
vegetables, fruits, breads/cereals? - answer✔Dairy = 3 servings (milk, cheese)
Protein = 5 servings (meats, eggs, legumes)
Vegetables = 5 servings (green and deep yellow vegetables are
good sources of vitamin C)
Breads/cereals = 6 servings
Fruit = 4 servings
For an average weight woman, how much weight should she gain in the first, second and third
trimester? - answer✔First = 2 - 4 lbs is average
Second and third = 1 per week if normal BMI or underweight and 0.5 - 0.6 if obese/overweight
(p. 206)
**(>2 lb/week
related to preeclampsia-edema)
After first trimester—0.4 kg/week or 0.8-1 lb/week
Total weight gain during the pregnancy should be between 25 to 35 lb.
, ©THEBRIGHTSTARS 2024
Protein Needed for pregnant woman? - answer✔- Basic element necessary for growth
Fetus, enlarging uterus, increase in circulating blood, formation of amniotic fluid
- Modest increase to 25 grams/day (HESI CR says 30 g/day)
Amount of Fluids needed for pregnant woman? - answer✔- Main substance of cells, blood,
lymph, amniotic fluid and other vital body fluids
- 8-10 glasses per day (4-6 should be water) (2-3 L)
Water, milk, decaffeinated tea (< 200 mg caffeine)
Iron needed for pregnant woman? - answer✔- 30 mg of elemental iron recommended (27-30 is
fine)
- Expansion of RBC mass for mother and fetus (Anemia)
- Recommend 20 mg supplementation by 12 weeks gestation
Calcium needed for pregnant woman? - answer✔- 1300 mg for <18 years old
- 1000 mg for >18 years old
- Maternal/fetal bone mass, fetal bone and tooth development
- Recommend no additional supplementation
- Cultural variations in food intake
Folate or folic acid needed for pregnant woman? - answer✔- Recommend 50% increase in
intake to 400-600 mcg
- Water-soluble vitamin (Folate or folic acid)
- RBC production
- Rapidly growing cells in fetus and placenta
- lack of is associated w/ Neural tube defects
- Breads are fortified with folic acid; Green leafy vegetables, liver; Prenatal vitamins
Vitamin D needed for pregnant woman? - answer✔- 600 IU (15 mcg) is the current
recommendation for adequate intake in pregnancy.
- In your book, 5 mcg (= 200 IU) was listed. Most Prenatal vitamins include 400 IU. So if the
woman is taking a standard prenatal vitamin with 400 IU, and an additional 200 IU (5 mcg), that
= 600 IU.
What is pica? - answer✔The practice of consuming non food substances
, ©THEBRIGHTSTARS 2024
Nonfood substances consumed in pica: baking powder, cornstarch, baking soda, laundry starch,
and ice. Some individuals practice poly-pica, consuming more than one of these or other nonfood
substances.
Foods to avoid during pregnancy? - answer✔- No swordfish, king mackerel and shark
due to high levels of mercury
- No raw fish
- Limit other fish to 12 oz/week
to limit mercury
- Avoid pre-packaged lunch meat, hot dogs (increased risk for listeria)
- No unpasteurized milk/soft cheeses
- No ETOH!
What's the best material to advise your client to wear to prevent infection? - answer✔Cotton!
Absorbs moisture and removes heat from this very moist warm area of the body, which would
otherwise predispose to infection
Kegel Exercises Patient Teaching - answer✔- First, educate the woman on what a Kegel is and
what set of muscles are being used.
- Ask her to try to stop her stream of urine when she if voiding and advise her THAT is the set of
muscles that should be strengthened.
- Advise her they can be done anywhere, anytime but a for a significant issue of loss of tone,
especially after childbirth, to attempt them at least 3 times a day.
- She should do a round of at least 10 each time she does them. She should contract the pelvic
muscles, drawing them upward to the highest level of the pelvis that she can, gradually
strengthening the contraction and then hold it for 10 seconds.
- She then relaxes for another 10 seconds before starting the next kegel. She repeats that 9 times.
- And repeats whole cycle of 10 three times a day
Name ONE way to prepare the nipples for breastfeeding - answer✔There is no special
preparation needed. But if there are inverted nipples or adhesions, a breast shield or finger
pressure around the nipples may empower the woman.
What pregnancy complication can be caused by poor dental health? - answer✔- premature
labor!!
NUR4467 M2 Exam Questions With Correct
Answers
Caloric energy needs for pregnant woman? - answer✔- 25 Kcal/kg/day
- 2000 calories/day
Energy intake increase of 330 kcal more than woman's nonpregnant intake recommended
Food Guide/Recommendations for pregnant women - how many servings of dairy, protein,
vegetables, fruits, breads/cereals? - answer✔Dairy = 3 servings (milk, cheese)
Protein = 5 servings (meats, eggs, legumes)
Vegetables = 5 servings (green and deep yellow vegetables are
good sources of vitamin C)
Breads/cereals = 6 servings
Fruit = 4 servings
For an average weight woman, how much weight should she gain in the first, second and third
trimester? - answer✔First = 2 - 4 lbs is average
Second and third = 1 per week if normal BMI or underweight and 0.5 - 0.6 if obese/overweight
(p. 206)
**(>2 lb/week
related to preeclampsia-edema)
After first trimester—0.4 kg/week or 0.8-1 lb/week
Total weight gain during the pregnancy should be between 25 to 35 lb.
, ©THEBRIGHTSTARS 2024
Protein Needed for pregnant woman? - answer✔- Basic element necessary for growth
Fetus, enlarging uterus, increase in circulating blood, formation of amniotic fluid
- Modest increase to 25 grams/day (HESI CR says 30 g/day)
Amount of Fluids needed for pregnant woman? - answer✔- Main substance of cells, blood,
lymph, amniotic fluid and other vital body fluids
- 8-10 glasses per day (4-6 should be water) (2-3 L)
Water, milk, decaffeinated tea (< 200 mg caffeine)
Iron needed for pregnant woman? - answer✔- 30 mg of elemental iron recommended (27-30 is
fine)
- Expansion of RBC mass for mother and fetus (Anemia)
- Recommend 20 mg supplementation by 12 weeks gestation
Calcium needed for pregnant woman? - answer✔- 1300 mg for <18 years old
- 1000 mg for >18 years old
- Maternal/fetal bone mass, fetal bone and tooth development
- Recommend no additional supplementation
- Cultural variations in food intake
Folate or folic acid needed for pregnant woman? - answer✔- Recommend 50% increase in
intake to 400-600 mcg
- Water-soluble vitamin (Folate or folic acid)
- RBC production
- Rapidly growing cells in fetus and placenta
- lack of is associated w/ Neural tube defects
- Breads are fortified with folic acid; Green leafy vegetables, liver; Prenatal vitamins
Vitamin D needed for pregnant woman? - answer✔- 600 IU (15 mcg) is the current
recommendation for adequate intake in pregnancy.
- In your book, 5 mcg (= 200 IU) was listed. Most Prenatal vitamins include 400 IU. So if the
woman is taking a standard prenatal vitamin with 400 IU, and an additional 200 IU (5 mcg), that
= 600 IU.
What is pica? - answer✔The practice of consuming non food substances
, ©THEBRIGHTSTARS 2024
Nonfood substances consumed in pica: baking powder, cornstarch, baking soda, laundry starch,
and ice. Some individuals practice poly-pica, consuming more than one of these or other nonfood
substances.
Foods to avoid during pregnancy? - answer✔- No swordfish, king mackerel and shark
due to high levels of mercury
- No raw fish
- Limit other fish to 12 oz/week
to limit mercury
- Avoid pre-packaged lunch meat, hot dogs (increased risk for listeria)
- No unpasteurized milk/soft cheeses
- No ETOH!
What's the best material to advise your client to wear to prevent infection? - answer✔Cotton!
Absorbs moisture and removes heat from this very moist warm area of the body, which would
otherwise predispose to infection
Kegel Exercises Patient Teaching - answer✔- First, educate the woman on what a Kegel is and
what set of muscles are being used.
- Ask her to try to stop her stream of urine when she if voiding and advise her THAT is the set of
muscles that should be strengthened.
- Advise her they can be done anywhere, anytime but a for a significant issue of loss of tone,
especially after childbirth, to attempt them at least 3 times a day.
- She should do a round of at least 10 each time she does them. She should contract the pelvic
muscles, drawing them upward to the highest level of the pelvis that she can, gradually
strengthening the contraction and then hold it for 10 seconds.
- She then relaxes for another 10 seconds before starting the next kegel. She repeats that 9 times.
- And repeats whole cycle of 10 three times a day
Name ONE way to prepare the nipples for breastfeeding - answer✔There is no special
preparation needed. But if there are inverted nipples or adhesions, a breast shield or finger
pressure around the nipples may empower the woman.
What pregnancy complication can be caused by poor dental health? - answer✔- premature
labor!!
