A nurse is assessing the nutritional status of a pregnant woman who is in her second trimester.
Which of the following factors should the nurse consider when evaluating the adequacy of the woman’s weight gain?
The woman’s pre-pregnancy BMI
The woman’s age and parity
The woman’s food preferences and cravings.
The woman’s activity level and lifestyle.
The Correct Answer is A
The woman’s pre-pregnancy BMI is a factor that the nurse should consider when evaluating the adequacy of the woman’s weight gain.
BMI is a measure of body fat calculated from weight and height. The amount of weight a woman should gain during pregnancy depends on her BMI before pregnancy. For example, a woman with a normal BMI (18.5-24.9) should gain 25-35 pounds, while a woman with an obese BMI (30 or more) should gain 11-20 pounds.
Choice B is wrong because the woman’s age and parity are not factors that affect the recommended weight gain during pregnancy. The weight gain recommendations are the same for all women regardless of their age or how many children they have had.
Choice C is wrong because the woman’s food preferences and cravings are not factors that determine the adequacy of the woman’s weight gain. Food preferences and cravings may influence what and how much a woman eats, but they do not change the amount of weight she should gain for a healthy pregnancy.
Choice D is wrong because the woman’s activity level and lifestyle are not factors that affect the recommended weight gain during pregnancy. Activity level and lifestyle may influence how a woman gains weight, but they do not change the amount of weight she should gain for a healthy pregnancy. Physical activity and healthy eating habits are important for all pregnant women to maintain their health and well-being.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Iron-fortified infant cereal.According to the World Health Organization (WHO), infants should start receiving complementary foods at 6 months of age in addition to breast milk.Iron-fortified infant cereal is a good source of iron, which is essential for the development of the infant’s brain and blood cells.
Choice A is wrong because cow’s milk or juice are not recommended as the first complementary foods for infants.Cow’s milk can cause iron deficiency anemia and allergic reactions, and juice can cause dental caries and diarrhea.
Choice B is wrong because pureed fruits or vegetables are not enough to meet the infant’s iron needs.Fruits and vegetables are rich in vitamins and minerals, but they do not provide enough iron for the growing infant.
Choice D is wrong because yogurt or cheese are not suitable as the first complementary foods for infants.Yogurt or cheese can cause allergic reactions and lactose intolerance, and they do not provide enough iron for the infant.
Correct Answer is D
Explanation
“I should push my baby’s chin down if he doesn’t latch on properly.” This statement indicates a need for further teaching because pushing the baby’s chin down can cause pain and damage to the nipple and interfere with the baby’s ability to suckle effectively.The mother should wait for the baby to open his mouth wide before bringing him to her breast and then gently guide his lower jaw onto the breast.
Choice A is correct because holding the baby close to the body with his nose opposite the nipple helps him to latch on well and stimulates the rooting reflex.
Choice B is correct because supporting the breast with a C-shape below the areola prevents the fingers from compressing the milk ducts and allows the baby to grasp more of the breast tissue.
Choice C is correct because waiting for the baby to open his mouth wide ensures that he takes a large mouthful of breast tissue and forms a good seal around the nipple and areola.
Normal ranges for breastfeeding frequency and duration are 8-12 times in 24 hours and 15-20 minutes on each side.
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