ATI RN
Needs of Maternal and Reproductive Health Clients Questions
Question 1 of 5
Which patient would require additional calories and nutrients?
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.
Question 2 of 5
Which clinical finding is associated with inadequate maternal weight gain during pregnancy?
Correct Answer: D
Rationale: The correct answer is D: Low-birth-weight infant. Inadequate maternal weight gain during pregnancy is associated with an increased risk of delivering a low-birth-weight infant due to insufficient fetal growth and development. When a mother does not gain enough weight during pregnancy, it can result in the baby being born smaller than expected, which can lead to various health issues. Prolonged labor (choice A) is not directly linked to inadequate weight gain. Preeclampsia (choice B) and gestational diabetes (choice C) are more commonly associated with excessive weight gain or other factors. Therefore, the correct choice is D as it directly correlates with inadequate maternal weight gain.
Question 3 of 5
A pregnant patient arrives for her first prenatal visit at the clinic. She informs the nurse that she has been taking an additional 400 mcg of folic acid prior to becoming pregnant. Based on the patient's history, she has reached 8 weeks' gestation. Which recommendation would the nurse provide regarding folic acid supplementation?
Correct Answer: B
Rationale: Step 1: The patient has been taking an additional 400 mcg of folic acid prior to pregnancy. Step 2: Folic acid is crucial in the early stages of pregnancy for neural tube development. Step 3: By 8 weeks' gestation, the neural tube has already formed. Step 4: Prenatal vitamins typically contain the recommended amount of folic acid. Step 5: Therefore, the nurse would recommend the patient to stop taking additional folic acid as it's included in prenatal vitamins.
Question 4 of 5
Which patient is most at risk for a low-birth-weight infant?
Correct Answer: B
Rationale: The correct answer is B because a low body mass index (<18.5) indicates underweight, which is a risk factor for delivering a low-birth-weight infant. Underweight individuals may have inadequate nutrition and lower reserves for a healthy pregnancy. Choice A is less likely as the patient has a normal prepregnant weight. Choice C's prepregnant weight being above the norm suggests a healthy weight. Choice D's total weight gain in previous pregnancies being 33 lb indicates a healthy weight maintenance during pregnancy.
Question 5 of 5
Changes in the diet of the pregnant patient who has phenylketonuria would include
Correct Answer: B
Rationale: The correct answer is B: eliminating drinks containing aspartame. Patients with phenylketonuria lack the enzyme to metabolize phenylalanine, found in aspartame. Avoiding aspartame-containing products is crucial to prevent phenylalanine buildup. Choice A is incorrect as vitamin C is not directly related to phenylketonuria. Choice C is incorrect as protein restriction is necessary, but the recommended intake is individualized and not a fixed amount. Choice D is incorrect as caloric intake is important, but the focus should be on managing phenylalanine levels.