Chapter 14 Maternal Nutrition
1) A pregnant teenage client is diagnosed with iron-deficiency anemia.
Which nutrient should the nurse encourage her to take to increase iron
absorption?
1. Vitamin A
2. Vitamin C
3. Vitamin D
4. Vitamin E
Answer: 2
Explanation: 2. Vitamin C is known to enhance the absorption of iron from
meat and nonmeat sources.
Page Ref: 329
Cognitive Level: Understanding
Client Need/Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I. A. 1. Integrate understanding of multiple
dimensions of patient-centered care. | AACN Essentials Competencies: IX. 3.
Implement holistic patient-centered care that reflects an understanding of
human growth and development, pathophysiology, pharmacology, medical
management, and nursing management across the health-illness continuum,
across lifespan and in all healthcare settings. | NLN Competencies:
Relationship-Centered Care: Communicate information effectively; listen
openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process:
Planning
Learning Outcome: 7 Describe basic factors a nurse should consider when
offering nutritional counseling to a pregnant adolescent.
MNL LO: 2.4.4 Evaluate the nutritional needs of the pregnant adolescent.
1
Copyright 2016 Pearson Education, Inc.
2) The pregnant client cannot tolerate milk or meat. What would the nurse
recommend to the client to assist in meeting protein needs?
1. Wheat bread and pasta
2. Ice cream and peanut butter
3. Eggs and tofu
,4. Beans and potatoes
Answer: 3
Explanation: 3. The best food choices that are nondairy and complete
proteins alone are eggs and tofu.
Page Ref: 327, 328
Cognitive Level: Applying
Client Need/Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I. A. 1. Integrate understanding of multiple
dimensions of patient-centered care. | AACN Essentials Competencies: IX. 3.
Implement holistic, patient-centered care that reflects an understanding of
human growth and development, pathophysiology, pharmacology, medical
management, and nursing management across the health-illness continuum,
across lifespan, and in all health care settings. | NLN Competencies:
Relationship-Centered Care: Communicate information effectively; listen
openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process:
,Implementation
Learning Outcome: 2 Explain the significance of specific nutrients in the diet
of the pregnant woman.
MNL LO: 2.5.2 Explore factors that influence a womans diet during
pregnancy.
2
Copyright 2016 Pearson Education, Inc.
3) The pregnant client states she does not want to take all these supplements.
What recommendations could the nurse make for the client?
Note: Credit will be given only if all correct choices and no incorrect choices
are selected.
Select all that apply.
1. Folic acid has been found to be essential for minimizing the risk of neural
tube defects.
2. You do not have to take these supplements if you think you are healthy
enough.
3. Most women do not have adequate intake of iron pre-pregnancy, and iron
needs increase with pregnancy.
4. These medications do the same thing. I will call your physician to cancel
one of your medications.
5. You should take the folic acid, but the vitamins are not that important.
Answer: 1, 3
Explanation: 1. An inadequate intake of folic acid has been associated with
neural tube defects (NTDs) (e.g., spina bifida, anencephaly).
3. Iron is essential because many pregnant women do not have adequate
intake of iron before pregnancy.
Page Ref: 331, 329
Cognitive Level: Applying
Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum
and Newborn Care
Standards: QSEN Competencies: I. B. 10. Engage patients or designated
, surrogates in active partnerships that promote health, safety and well-being, and
self-care management. | AACN Essentials Competencies: IX. 7. Provide
appropriate patient teaching that reflects developmental stage, age, culture,
spirituality, patient preferences, and health literacy considerations to foster
patient engagement in their care. | NLN Competencies: Relationship-
Centered Care: Communicate information effectively; listen openly and
cooperatively. | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 2 Explain the significance of specific nutrients in the diet
of the pregnant woman.
MNL LO: 2.5.1 Recognize nutritional requirements specific to pregnancy.
3
Copyright 2016 Pearson Education, Inc.
4) The nurse is planning an early-pregnancy class session on nutrition. Which
information should the nurse include?
Note: Credit will be given only if all correct choices and no incorrect choices
are selected.
Select all that apply.
1. Protein is important for fetal development.
2. Iron helps both mother and baby maintain the oxygen-carrying capacity of
the blood.
3. Calcium prevents constipation at the end of pregnancy.
4. Zinc facilitates synthesis of RNA and DNA.
5. Vitamin A promotes development of the babys eyes.
Answer: 1, 2, 4, 5
Explanation: 1. During pregnancy, the woman needs increased amounts of
protein to provide amino acids for fetal development.
2. Iron deficiency anemia is associated with an increased incidence of
preterm birth, low-birth-weight infants, and maternal and infant mortality.
4. Zinc is involved in RNA and DNA synthesis, and milk production during
lactation.
5. Vitamin A promotes healthy formation and development of the fetal eyes.
1) A pregnant teenage client is diagnosed with iron-deficiency anemia.
Which nutrient should the nurse encourage her to take to increase iron
absorption?
1. Vitamin A
2. Vitamin C
3. Vitamin D
4. Vitamin E
Answer: 2
Explanation: 2. Vitamin C is known to enhance the absorption of iron from
meat and nonmeat sources.
Page Ref: 329
Cognitive Level: Understanding
Client Need/Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I. A. 1. Integrate understanding of multiple
dimensions of patient-centered care. | AACN Essentials Competencies: IX. 3.
Implement holistic patient-centered care that reflects an understanding of
human growth and development, pathophysiology, pharmacology, medical
management, and nursing management across the health-illness continuum,
across lifespan and in all healthcare settings. | NLN Competencies:
Relationship-Centered Care: Communicate information effectively; listen
openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process:
Planning
Learning Outcome: 7 Describe basic factors a nurse should consider when
offering nutritional counseling to a pregnant adolescent.
MNL LO: 2.4.4 Evaluate the nutritional needs of the pregnant adolescent.
1
Copyright 2016 Pearson Education, Inc.
2) The pregnant client cannot tolerate milk or meat. What would the nurse
recommend to the client to assist in meeting protein needs?
1. Wheat bread and pasta
2. Ice cream and peanut butter
3. Eggs and tofu
,4. Beans and potatoes
Answer: 3
Explanation: 3. The best food choices that are nondairy and complete
proteins alone are eggs and tofu.
Page Ref: 327, 328
Cognitive Level: Applying
Client Need/Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I. A. 1. Integrate understanding of multiple
dimensions of patient-centered care. | AACN Essentials Competencies: IX. 3.
Implement holistic, patient-centered care that reflects an understanding of
human growth and development, pathophysiology, pharmacology, medical
management, and nursing management across the health-illness continuum,
across lifespan, and in all health care settings. | NLN Competencies:
Relationship-Centered Care: Communicate information effectively; listen
openly and cooperatively. | Nursing/Integrated Concepts: Nursing Process:
,Implementation
Learning Outcome: 2 Explain the significance of specific nutrients in the diet
of the pregnant woman.
MNL LO: 2.5.2 Explore factors that influence a womans diet during
pregnancy.
2
Copyright 2016 Pearson Education, Inc.
3) The pregnant client states she does not want to take all these supplements.
What recommendations could the nurse make for the client?
Note: Credit will be given only if all correct choices and no incorrect choices
are selected.
Select all that apply.
1. Folic acid has been found to be essential for minimizing the risk of neural
tube defects.
2. You do not have to take these supplements if you think you are healthy
enough.
3. Most women do not have adequate intake of iron pre-pregnancy, and iron
needs increase with pregnancy.
4. These medications do the same thing. I will call your physician to cancel
one of your medications.
5. You should take the folic acid, but the vitamins are not that important.
Answer: 1, 3
Explanation: 1. An inadequate intake of folic acid has been associated with
neural tube defects (NTDs) (e.g., spina bifida, anencephaly).
3. Iron is essential because many pregnant women do not have adequate
intake of iron before pregnancy.
Page Ref: 331, 329
Cognitive Level: Applying
Client Need/Sub: Health Promotion and Maintenance: Ante/Intra/Postpartum
and Newborn Care
Standards: QSEN Competencies: I. B. 10. Engage patients or designated
, surrogates in active partnerships that promote health, safety and well-being, and
self-care management. | AACN Essentials Competencies: IX. 7. Provide
appropriate patient teaching that reflects developmental stage, age, culture,
spirituality, patient preferences, and health literacy considerations to foster
patient engagement in their care. | NLN Competencies: Relationship-
Centered Care: Communicate information effectively; listen openly and
cooperatively. | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 2 Explain the significance of specific nutrients in the diet
of the pregnant woman.
MNL LO: 2.5.1 Recognize nutritional requirements specific to pregnancy.
3
Copyright 2016 Pearson Education, Inc.
4) The nurse is planning an early-pregnancy class session on nutrition. Which
information should the nurse include?
Note: Credit will be given only if all correct choices and no incorrect choices
are selected.
Select all that apply.
1. Protein is important for fetal development.
2. Iron helps both mother and baby maintain the oxygen-carrying capacity of
the blood.
3. Calcium prevents constipation at the end of pregnancy.
4. Zinc facilitates synthesis of RNA and DNA.
5. Vitamin A promotes development of the babys eyes.
Answer: 1, 2, 4, 5
Explanation: 1. During pregnancy, the woman needs increased amounts of
protein to provide amino acids for fetal development.
2. Iron deficiency anemia is associated with an increased incidence of
preterm birth, low-birth-weight infants, and maternal and infant mortality.
4. Zinc is involved in RNA and DNA synthesis, and milk production during
lactation.
5. Vitamin A promotes healthy formation and development of the fetal eyes.
