ATI RN
Needs of Maternal and Reproductive Health Clients Questions
Question 1 of 5
When explaining the recommended weight gain to your patient, the nurse's teaching should include which statement?
Correct Answer: C
Rationale: The correct answer is C because weight gain in pregnancy should be individualized based on the patient's prepregnant body mass index (BMI). This is important as it takes into consideration the patient's starting weight and helps to determine a healthy range of weight gain to support both maternal and fetal health. This approach is evidence-based and helps to prevent complications such as gestational diabetes and preeclampsia. Explanation for why the other choices are incorrect: A: This statement is incorrect because not all pregnant women need to gain the same amount of weight. Weight gain recommendations vary based on the patient's BMI. B: This statement is incorrect as it provides a specific number for weight gain, which may not be accurate for all pregnant women. Weight gain should be individualized based on BMI. D: This statement is incorrect because weight gain recommendations are distributed evenly across the trimesters, not necessarily more in the first and second trimesters and less in the third.
Question 2 of 5
A pregnant woman of normal weight enters her 13th week of pregnancy. If the patient eats and exercises as directed, what will the nurse anticipate as the ongoing weight gain for the remaining trimesters?
Correct Answer: B
Rationale: The correct answer is B: 1 lb every week. During the second and third trimesters, a pregnant woman is expected to gain about 1 lb per week on average. This weight gain is important for the healthy development of the baby and to support the mother's changing body. Gaining weight too slowly can lead to complications, while gaining too quickly can also have negative effects. Choices A, C, and D are incorrect because they suggest weight gain rates that are either too low or too high for a healthy pregnancy. It is crucial for the nurse to educate the patient on the importance of appropriate weight gain throughout the remaining trimesters to ensure the well-being of both the mother and the baby.
Question 3 of 5
A patient with a BMI of 32 has a positive pregnancy test. What is the maximum number of pounds that the nurse will advise the patient gain during the pregnancy?
Correct Answer: A
Rationale: The correct answer is A (20 lb). During pregnancy, the recommended weight gain for a woman with a BMI of 30-39.9 is 11-20 pounds. This range helps reduce the risk of complications associated with excessive weight gain. Option B (25 lb) exceeds this recommended range, while options C (28 lb) and D (40 lb) are even further beyond the healthy weight gain guidelines for a BMI of 32. Thus, advising the patient to gain a maximum of 20 pounds is the most appropriate recommendation to ensure a healthy pregnancy outcome.
Question 4 of 5
A pregnant patient with significant iron-deficiency anemia is prescribed iron supplements. The patient explains to the nurse that she cannot take iron because it makes her nauseous. What is the best response by the nurse?
Correct Answer: D
Rationale: The correct answer is D: "Try taking the iron at bedtime on an empty stomach." Taking iron on an empty stomach at bedtime can help reduce nausea because there are fewer digestive interactions. Iron supplements are best absorbed on an empty stomach. Taking them with food or other beverages can worsen gastrointestinal side effects. Option A is incorrect as orange juice may increase the likelihood of nausea due to its acidity. Option B is incorrect as patient comfort and adherence are important considerations. Option C is incorrect as milk can decrease iron absorption.
Question 5 of 5
Which guidance related to a healthy diet during pregnancy will the nurse provide to a patient in her 1st trimester?
Correct Answer: A
Rationale: Step 1: During pregnancy, protein is essential for the growth and development of the fetus, making option A correct. Step 2: The other options are incorrect due to potential risks. High-dose vitamin A (Option B) can be harmful to the fetus. Step 3: Consuming raw sprouts (Option C) poses a risk of foodborne illness, which can be dangerous during pregnancy. Step 4: Relying solely on supplements (Option D) is not recommended as they may not provide all the necessary nutrients found in whole foods. In summary, option A is correct as it emphasizes the importance of protein intake during pregnancy, while the other options pose potential risks or limitations in meeting nutritional needs.