Which of the following statements are correct regarding protein intake in pregnancy? Select two.
Clients should consume calcium to aid in protein absorption.
Vegan clients can obtain protein from nuts, seeds, beans, lentils, and soy milk.
Protein assists with bone and teeth formation.
Protein deficiency can lead to neural tube defects.
Protein is essential for basic growth of the fetus.
Correct Answer : B,E
Choice A rationale
While calcium and protein are both vital nutrients during pregnancy, there is no direct scientific link that calcium aids in protein absorption. Protein is broken down into amino acids in the gastrointestinal tract and then absorbed into the bloodstream. Calcium is absorbed through a separate, active transport process that is dependent on vitamin D.
Choice B rationale
Vegan clients can indeed obtain adequate protein from a variety of plant-based sources. Nuts, seeds, beans, lentils, and soy milk are all rich in protein and, when consumed in combination, provide a complete amino acid profile necessary for the synthesis of new proteins for fetal development and maternal tissue growth during pregnancy.
Choice C rationale
Protein is crucial for the formation of new cells and tissues, including muscles, blood, and organs. While protein deficiency can impair bone growth due to its role in the formation of the organic matrix, it is calcium and phosphorus that are the primary mineral components of bones and teeth, providing their rigid structure and strength.
Choice D rationale
Neural tube defects are primarily linked to a deficiency in folic acid (vitamin B9), which is essential for the proper development of the neural tube early in pregnancy. While protein is critical for overall fetal growth and development, its deficiency is not the primary cause of neural tube defects.
Choice E rationale
Protein is a fundamental macronutrient essential for the basic growth and development of the fetus. It provides the necessary amino acids for the synthesis of all fetal tissues, including organs, muscles, blood, and the central nervous system. It also supports the growth of maternal tissues, such as the placenta and uterus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Calcium is a vital mineral for fetal bone and tooth development. It also plays a crucial role in maintaining maternal bone density. The normal range for serum calcium is approximately 8.5 to 10.2 mg/dL. While important, a deficiency is typically not associated with severe congenital anomalies like neural tube defects.
Choice B rationale
Iron is essential for the production of hemoglobin, which carries oxygen to both the mother and the fetus. Iron deficiency can lead to maternal anemia, causing fatigue and increasing the risk of preterm delivery and low birth weight. The normal range for hemoglobin is 12 to 16 g/dL for women. While very important, it is not the primary nutrient for preventing neural tube defects.
Choice C rationale
Folic acid, a B vitamin, is critically important for the prevention of neural tube defects (NTDs), such as spina bifida and anencephaly, which can form early in gestation, often before a woman knows she is pregnant. Folic acid is essential for proper cell growth and DNA synthesis, which are fundamental processes in the development of the fetal central nervous system.
Choice D rationale
Magnesium is a mineral that plays a role in numerous bodily functions, including muscle and nerve function, blood glucose control, and blood pressure regulation. Normal serum magnesium levels are 1.7 to 2.2 mg/dL. While a deficiency can lead to complications, it is not the primary nutrient for the prevention of neural tube defects.
Correct Answer is ["A","C","F"]
Explanation
Choice A rationale
This is a significant indicator of human trafficking because the trafficker exerts control by preventing the victim from communicating freely. The presence of a third party, often the trafficker, during medical interviews or conversations prevents the victim from disclosing their situation and seeking help without fear of reprisal.
Choice B rationale
Tattoos, piercings, and marijuana use are not definitive signs of human trafficking. These are personal choices and lifestyle factors that are common in various populations and do not, in themselves, indicate exploitation. Basing a suspicion of trafficking on these alone can lead to inaccurate conclusions and misidentification of victims.
Choice C rationale
This is a key sign of human trafficking. A victim living with their employer and not possessing their own identification documents like a license or passport signifies a lack of autonomy and control. The trafficker holds these documents to restrict the victim's movement, prevent them from leaving, and maintain total control over their life.
Choice D rationale
A client being alone and having no support system present is not a direct indicator of human trafficking. Many individuals may present alone to a healthcare setting for various reasons, such as privacy, independence, or lack of local family/friends. While it can be a factor, it is not a primary sign on its own.
Choice E rationale
Living alone and outside of the city area is not a sign of human trafficking. Many individuals choose to live in more rural or isolated locations for personal or financial reasons. This living situation does not inherently suggest that a person is being exploited or held against their will.
Choice F rationale
Providing scripted or rehearsed answers is a common sign of a human trafficking victim. This behavior suggests that the person has been coached by their trafficker on what to say to avoid detection and maintain the narrative. It indicates a lack of spontaneity and genuine communication, signaling a controlled environment.
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