A pregnant patient would like to know which foods, other than dairy products, contain the most calcium. Which food group would the nurse recommend?

Correct Answer: A

Rationale: The correct answer is A: Legumes. Legumes such as chickpeas, lentils, and beans are rich sources of calcium. They provide a plant-based alternative for calcium intake. Legumes are also high in fiber, protein, and other essential nutrients beneficial for pregnancy. Lean meat (B) and yellow vegetables (D) are not significant sources of calcium. While whole grains (C) offer some calcium, they are not as high in calcium content as legumes. Therefore, for a pregnant patient looking to increase calcium intake without relying on dairy products, legumes are the most recommended food group.

Correct Answer: A

Rationale: Rationale for Correct Answer A: The correct answer is A because it addresses the specific nutritional needs of a pregnant adolescent by considering her growth and weight gain requirements. It is essential to determine the appropriate weight gain based on the adolescent's pre-pregnancy weight and BMI to ensure a healthy pregnancy. Adding a standard amount (usually around 35 lb) on top of the recommended weight gain for adolescents accounts for the additional needs of the growing fetus. Summary of Incorrect Choices: B: This choice focuses on avoiding fast food restaurants but does not address the specific nutritional needs of a pregnant adolescent. C: Assuming that most adolescents are unwilling to make dietary changes is a generalization and does not provide tailored guidance for the individual's needs. D: While emphasizing the need to eliminate unhealthy snacks is important, it does not address the overall nutritional requirements and weight gain needed for a pregnant adolescent.

Correct Answer: A

Rationale: Rationale: A: Tofu, bok choy, and broccoli are rich sources of calcium and iron, suitable for Asian diets low in these nutrients. B: Eating hot foods during pregnancy does not specifically address increasing intake of calcium and iron. C: Traditional Asian diets often do not emphasize milk consumption, and not all individuals can digest milk well. D: Fruits and vegetables are important but not specific sources of calcium and iron. Also, dietary changes should be made by the individual, not someone else.

Correct Answer: D

Rationale: The correct answer is D because breastfeeding requires additional calories and nutrients to support the mother's milk production and maintain her own health. Breastfeeding burns extra calories, so the mother needs to consume more to meet her body's needs. Additionally, breastfeeding mothers need to ensure they are getting enough nutrients like calcium, iron, and protein to support their own health and the production of nutritious breast milk for their baby. Choice A is incorrect because the patient is in her first trimester of pregnancy, not breastfeeding. Choice B is incorrect because bottle feeding does not require as many additional calories and nutrients as breastfeeding. Choice C is incorrect because although the patient had a cesarean birth, the method of feeding (bottle feeding) does not require as much additional nutrition as breastfeeding.

Correct Answer: A

Rationale: The correct answer is (A) because losing 30 lb in the 6-week postpartum period is concerning as it is excessive and may indicate underlying health issues like hyperthyroidism or inadequate nutrition. This rapid weight loss can also affect the mother's energy levels, milk production, and overall health. Choice (B) is incorrect as eating healthy and limiting processed foods is a positive behavior that supports weight management. Choice (C) is also incorrect as increased consumption of fruits and vegetables is beneficial for overall health. Choice (D) is incorrect because resuming a light exercise routine like walking is generally encouraged postpartum, as long as it is done safely and does not lead to excessive strain.