ATI RN
Needs of Maternal and Reproductive Health Clients Questions
Question 1 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 2 of 5
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.
Question 3 of 5
To determine cultural influences on a patient's diet, what is the nurse's primary action?
Correct Answer: D
Rationale: The correct answer is D because identifying the food preferences and methods of food preparation common to the patient's culture is crucial in understanding cultural influences on their diet. This step helps the nurse tailor dietary recommendations that align with the patient's cultural background and preferences, promoting better adherence and health outcomes. Option A is incorrect as weight gain during pregnancy is not directly related to cultural influences on diet. Option B, assessing socioeconomic status, is important but not the primary action for understanding cultural influences on diet. Option C, discussing the four food groups, is too generic and does not specifically address cultural influences on diet.
Question 4 of 5
In teaching a pregnant adolescent about nutrition, what should the nurse include in the care plan?
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.
Question 5 of 5
The traditional diet of Asian women includes little meat and few dairy products and may be low in calcium and iron. The nurse can assist a patient increase her intake of these foods by which action?
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.