ATI RN
Needs of Maternal and Reproductive Health Clients Questions
Question 1 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.
Question 2 of 5
A pregnant patient has lactose intolerance. Which recommendation will the nurse provide to best help the patient meet dietary needs for calcium?
Correct Answer: A
Rationale: The correct answer is A: Add foods such as nuts, dried fruit, and broccoli to the diet. This recommendation is best because these foods are good sources of calcium and are also lactose-free, which is important for a pregnant patient with lactose intolerance. Nuts and dried fruits are rich in calcium, while broccoli is a good vegetable source of calcium. Choice B is incorrect because consuming dairy products can exacerbate symptoms of lactose intolerance, even with an anti-gas product. Choice C is incorrect because while dark leafy vegetables are good sources of calcium, they may not provide enough for a pregnant patient's needs. Choice D is incorrect because powdered milk still contains lactose and may not be well-tolerated by someone with lactose intolerance.
Question 3 of 5
The nurse is reviewing a list of foods high in folic acid with a patient who is considering becoming pregnant. The nurse determines that the patient understands the teaching when the patient states she will include which list of foods in her diet?
Correct Answer: D
Rationale: The correct answer is D. Spinach, orange juice, and fortified bran flakes are high in folic acid, which is essential for pregnant women to prevent neural tube defects in the fetus. Spinach is rich in folate, the natural form of folic acid. Orange juice is often fortified with folic acid, and fortified bran flakes also contain high levels of folic acid. A, B, and C are incorrect choices because they do not contain foods that are particularly high in folic acid. While peaches, yogurt, tofu, strawberries, milk, tuna, asparagus, lemonade, and chicken breast are all nutritious choices, they are not as rich in folic acid as the foods listed in option D. It is crucial for the patient to focus on foods with high folic acid content to support a healthy pregnancy.
Question 4 of 5
A patient at 8 weeks' gestation complains to the nurse, 'I feel sick almost every morning. And I throw up at least two or three times a week.' What is the nurse's best guidance for this patient?
Correct Answer: C
Rationale: The correct answer is C: 'Try eating peanut butter on whole wheat bread right before going to bed.' This recommendation is based on the fact that consuming a small snack high in protein and complex carbohydrates before going to bed can help stabilize blood sugar levels and reduce morning sickness symptoms in pregnant women. Peanut butter provides protein and whole wheat bread provides complex carbohydrates, which can help alleviate nausea and vomiting. Choice A is incorrect because asking about cheese does not address the patient's symptoms or provide any practical guidance for managing morning sickness. Choice B is incorrect because increasing the number of meals may not necessarily alleviate morning sickness and could potentially exacerbate symptoms. Choice D is incorrect because suggesting that eating enough throughout the day will prevent sickness oversimplifies the issue and does not offer targeted advice for managing morning sickness.
Question 5 of 5
Expectant parents ask a prenatal nurse educator, 'Which setting for childbirth limits the amount of parent-infant interaction?'
Correct Answer: C
Rationale: The correct answer is C) Traditional hospital birth. In a traditional hospital birth setting, the separation of parent and infant can occur due to various hospital protocols and procedures. For example, in some hospitals, the baby may be taken to a nursery for monitoring or care after birth, limiting immediate parent-infant interaction. This separation can impact early bonding, breastfeeding initiation, and overall parental involvement in newborn care. Option A) Birth center and Option B) Home birth typically promote increased parent-infant interaction as they often emphasize family-centered care and encourage parents to be actively involved in the birthing process. Birth centers and home births usually support immediate skin-to-skin contact, early breastfeeding, and rooming-in practices, all of which enhance parent-infant bonding. Option D) Labor, birth, and recovery room is not the correct answer as this setting is designed to promote family-centered care and encourage parent-infant interaction. In this setting, parents are typically encouraged to stay together with their newborn to facilitate bonding and care continuity. In an educational context, it is important for prenatal nurse educators to understand the different childbirth settings and their impact on parent-infant interaction. By discussing these options with expectant parents, educators can help them make informed decisions about where they would like to give birth based on their preferences for parent-infant bonding and involvement in the early postpartum period.