11. The breastfeeding client whose recommended prepregnancy caloric intake was 2000 calories per day would need how many calories per day to meet her current needs?

a.2300

b.2500

c.2750

d.3000

12. Which is the most important reason for evaluating the pattern of weight gain in pregnancy?

a.Prevents excessive adipose tissue deposits

b.Determines cultural influences on the woman’s diet

c.Assesses the need to limit caloric intake in obese women

d.Identifies potential nutritional problems or complications of pregnancy

13. A pregnant client would like to know a good food source of calcium other than dairy products. Which is the best answer that the nurse should give?

a.Legumes

b.Lean meat

c.Whole grains

d.Yellow vegetables

14. To determine cultural influences on a client’s diet, what should the nurse do first?

a.Evaluate the client’s weight gain during pregnancy.

b.Assess the socioeconomic status of the client.

c.Discuss the four food groups with the client.

d.Identify the food preferences and methods of food preparation common to the client’s culture.

15. Which pregnant adolescent is most at risk for a nutritional deficit during pregnancy?

a.A 16-year-old who is 10 lb overweight

b.A 17-year-old who is 10 lb underweight

c.A 15-year-old of normal height and weight

d.A 16-year-old of normal height and weight

16. What should be the goal of a client with the nursing diagnosis “Imbalanced nutrition: Less than body requirements” (related to diet choices inadequate to meet the nutrient requirements of pregnancy)?

a.Gain a total of 30 lb.

b.Decrease intake of snack foods.

c.Take daily supplements consistently.

d.Increase intake of complex carbohydrates.

17. A client who is in week 28 of gestation is concerned about her weight gain of 17 lb. Which is the nurse’s best response?

a.“You should not gain any more weight until you reach the third trimester.”

b.“You should try to decrease your amount of weight gain for the next 12 weeks.”

c.“You have not gained enough weight for the number of weeks of your pregnancy.”

d.“You have gained an appropriate amount for the number of weeks of your pregnancy.”

18. In teaching a pregnant adolescent about nutrition, what should the nurse plan to do?

a.Determine the weight gain needed to meet adolescent growth and add 35 lb.

b.Suggest that she not eat at fast food restaurants to avoid foods of poor nutritional value.

c.Realize that most adolescents are unwilling to make dietary changes during pregnancy.

d.Emphasize the need to eliminate common teen snack foods because they are too high in fat and sodium.

19. The traditional diet of Asian women includes little meat and few dairy products and may be low in calcium and iron. The nurse can help a client increase her intake of these foods by which action?

a.Suggest that she eat more tofu, bok choy, and broccoli.

b.Suggest that she eat more hot foods during pregnancy.

c.Emphasize the need for increased milk intake during pregnancy.

d.Tell her husband that she must increase her intake of fruits and vegetables for the baby’s sake.

20. When planning a diet for a pregnant client, which nutritional interventions should be implemented?

a.Fluids should be restricted to 6 glasses a day to minimize fluid retention and occurrence of edema.

b.Protein in the diet should be increased to meet growth and development needs.

c.Nutrient density should be used only if there are problems with weight gain during the course of the pregnancy.

d.Advise the client that the pattern of weight gain is not as important as the overall weight gained during the pregnancy.