ATI RN
Needs of Maternal and Reproductive Health Clients Questions
Question 1 of 5
The nurse is meeting with a patient with an elevated BMI regarding an optimal diet for pregnancy. Which major source of nutrients should be a significant component of this patient's diet?
Correct Answer: D
Rationale: The correct answer is D: Complex carbohydrates. During pregnancy, complex carbohydrates provide essential energy, fiber, vitamins, and minerals for both the mother and the developing baby. They help regulate blood sugar levels and provide sustained energy. Fats, although important, should be consumed in moderation. Fiber is crucial for digestive health but is not the major source of nutrients during pregnancy. Simple sugars should be limited as they provide empty calories and can lead to blood sugar spikes. Therefore, complex carbohydrates are the optimal choice for this patient's diet during pregnancy.
Question 2 of 5
When should iron supplementation during a normal pregnancy begin?
Correct Answer: D
Rationale: The correct answer is D: In the second trimester. During the second trimester, the demand for iron significantly increases due to the rapid growth of the fetus and expansion of maternal blood volume. This is the optimal time to begin iron supplementation to prevent iron deficiency anemia in both the mother and the developing baby. Starting iron supplementation in the first trimester may not be necessary as iron needs are not as high yet. Waiting until the third trimester may lead to insufficient time for iron stores to build up adequately. Beginning before pregnancy is not necessary unless the mother has pre-existing iron deficiency.
Question 3 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 4 of 5
A pregnant patient's diet may not meet her need for folate. Which food choice is an excellent source of this nutrient?
Correct Answer: D
Rationale: The correct answer is D: Green leafy vegetables. Green leafy vegetables such as spinach, kale, and broccoli are excellent sources of folate, a crucial nutrient for pregnant women to prevent neural tube defects in the fetus. These vegetables are rich in natural folate, making them an ideal choice for meeting the increased folate requirements during pregnancy. Chicken (A), cheese (B), and potatoes (C) do not contain as high levels of folate as green leafy vegetables, making them less optimal choices for ensuring adequate intake of this essential nutrient during pregnancy.
Question 5 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.