A pregnant patient who avoids dairy products asks the nurse for alternative sources of calcium. Which of the following responses by the nurse is most appropriate?
"You should take a calcium supplement instead of trying to get calcium from food."
Try eating calcium-fortified orange juice, tofu, almonds, or canned salmon with bones."
"Calcium is only available in dairy, so you may have trouble meeting your needs without it."
"Focus on eating more red meat and whole grains, as they are high in calcium.
The Correct Answer is B
A. While supplements can help meet calcium needs, dietary sources are preferred because they provide additional nutrients and are better absorbed. Supplements should only be used when dietary intake is inadequate or prescribed by a healthcare provider.
B. These are excellent nondairy sources of calcium that can help meet the daily requirements during pregnancy. They also provide other nutrients such as protein, magnesium, and omega-3 fatty acids, supporting both maternal bone health and fetal development.
C. Many plant-based and fortified foods contain significant amounts of calcium. Educating clients on diverse calcium sources supports better dietary planning and prevents nutritional misconceptions.
D. Red meat and whole grains are not significant sources of calcium. While they offer other nutrients like protein and iron, relying on them for calcium intake would not meet the recommended dietary requirements during pregnancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["40% to 50%"]
Explanation
A maternal blood volume increase of approximately 40% to 50% occurs during pregnancy to meet the heightened metabolic demands of the mother and fetus. This expansion enhances uteroplacental perfusion, compensates for blood loss at delivery, and maintains adequate circulation despite reduced systemic vascular resistance. The increased plasma volume also contributes to physiologic anemia of pregnancy due to hemodilution but is essential for sustaining optimal fetal oxygenation and nutrient transport.
Correct Answer is B
Explanation
A. IVF is an advanced fertility treatment that is not the first step in infertility management. Initial evaluation should include a comprehensive assessment of both partners to identify potential reversible causes before considering assisted reproductive technologies.
B. This response provides accurate information and reassurance while establishing the basis for appropriate next steps in evaluation. Since the couple has been trying for 14 months, further assessment is warranted, but immediate invasive interventions are not yet indicated.
C. Testosterone supplementation can actually suppress spermatogenesis by decreasing gonadotropin release, leading to reduced sperm production. It should never be initiated without a complete evaluation by a fertility specialist or endocrinologist.
D. Suggesting adoption at this stage may be premature and insensitive. The couple first requires supportive counseling and diagnostic testing to explore treatable causes of infertility before discussing long-term alternatives.
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