ATI RN
Needs of Maternal and Reproductive Health Clients Questions
Question 1 of 5
A patient in her fifth month of pregnancy asks the nurse, 'How many more calories should I be eating daily?' What is the correct response by the nurse?
Correct Answer: B
Rationale: The correct response is B: 340 more calories a day. During the second trimester, an additional 340 calories per day is recommended for pregnant women. This ensures proper nutrition for both the mother and the developing fetus. Option A (180 more calories) may not provide enough energy for the needs of pregnancy. Options C (452 more calories) and D (500 more calories) are excessive and could lead to unnecessary weight gain, which may pose risks during pregnancy. Option B strikes a balanced approach to support the increased energy demands of pregnancy without being excessive.
Question 2 of 5
A pregnant patient asks the nurse if she can double her prenatal vitamin dose because she does not like to eat vegetables. What is the nurse's response regarding the danger of taking excessive vitamins?
Correct Answer: B
Rationale: The correct answer is B: Has toxic effects on the fetus. Doubling prenatal vitamin dose can lead to excessive intake of certain vitamins like Vitamin A, which can be harmful to the fetus. Excessive vitamins can cause toxicity and harm the developing baby. Other choices are incorrect: A is irrelevant, C is misleading, and D is not related to excessive vitamin intake.
Question 3 of 5
The nurse is conducting a prenatal nutrition education class for a group of nursing students. Which statement best describes the condition known as pica?
Correct Answer: C
Rationale: The correct answer is C: Ingestion of nonfood substances. Pica is a condition where individuals have a persistent craving to eat items that are not considered food, such as dirt, clay, or ice. This behavior can be seen in pregnant women due to nutritional deficiencies or psychological factors. Choices A, B, and D are incorrect because they do not accurately describe pica. Iron-deficiency anemia (A) is a condition related to low iron levels in the blood, intolerance to milk products (B) is a lactose intolerance issue, and episodes of anorexia and vomiting (D) are symptoms of eating disorders, not pica.
Question 4 of 5
Which effect is a common response to both smoking and cocaine use in the pregnant patient?
Correct Answer: A
Rationale: The correct answer is A: Vasoconstriction. Both smoking and cocaine use can lead to vasoconstriction, which is the narrowing of blood vessels. In pregnant patients, this can reduce blood flow to the fetus, leading to potential complications. Increased appetite (B) and increased metabolism (C) are not common responses to both smoking and cocaine use. Changes in insulin metabolism (D) are more commonly associated with conditions like gestational diabetes rather than as a common response to smoking and cocaine use during pregnancy.
Question 5 of 5
Which is the most important reason for evaluating the pattern of weight gain in pregnancy?
Correct Answer: D
Rationale: The correct answer is D because evaluating the pattern of weight gain in pregnancy helps identify potential nutritional problems or complications. Monitoring weight gain can indicate if the woman is receiving adequate nutrition for fetal development, detect issues like gestational diabetes or pre-eclampsia, and ensure overall maternal and fetal health. Incorrect choice analysis: A: Preventing excessive adipose tissue deposits is important, but the primary reason for evaluating weight gain in pregnancy is to identify nutritional problems and complications. B: Cultural influences on diet are relevant but not the most important reason for evaluating weight gain. C: Limiting caloric intake in obese women is important, but evaluating weight gain is more about ensuring proper nutrition and detecting complications rather than focusing solely on caloric restriction.