Nokea
For the pregnant patient who is a vegan, what combination of foods will the nurse advise to meet the nutritional needs for all essential amino acids?
- A. Eggs and beans
- B. Fruits and vegetables
- C. Grains and legumes
- D. Vitamin and mineral supplements
Correct Answer: C
Rationale: The correct answer is C (Grains and legumes) because when combined, they provide all essential amino acids needed for a vegan pregnant patient. Grains are low in lysine but high in methionine, while legumes are high in lysine but low in methionine. By consuming both, the patient can achieve a complete protein profile. Choice A (Eggs and beans) is incorrect as vegans do not consume eggs. Choice B (Fruits and vegetables) lacks adequate protein and essential amino acids. Choice D (Vitamin and mineral supplements) is important for overall health but does not provide the necessary amino acids.
You may also like to solve these questions
The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces, has a head circumference of 13 inches, and a chest circumference of 10 inches. Based on these physical findings, assessment for which condition has the highest priority?
- A. Hyperthermia
- B. Hyperbilirubinemia
- C. Polycythemia
- D. Hypoglycemia
Correct Answer: D
Rationale: Small-for-gestational-age infants are at high risk for hypoglycemia (D).
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?
- A. Peaches, yogurt, and tofu
- B. Strawberries, milk, and tuna
- C. Asparagus, lemonade, and chicken breast
- D. Spinach, orange juice, and fortified bran flakes
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.
When should iron supplementation during a normal pregnancy begin?
- A. Before pregnancy
- B. In the first trimester
- C. In the third trimester
- D. In the second trimester
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.
The nurse is caring for a woman with a previously diagnosed heart disease who is in the second stage of labor. Which assessment findings are of greatest concern?
- A. Edema, basilar rales, and an irregular pulse.
- B. Increased urinary output, and tachycardia.
- C. Dyspnea, bradycardia, and hypertension.
- D. Regular heart rate, and hypertension.
Correct Answer: A
Rationale: Edema, basilar rales, and an irregular pulse indicate potential cardiac decompensation, which is of greatest concern in a woman with heart disease during labor.
A 26-week gestational primigravida who is carrying twins is seen in the clinic today. Her fundal height is measured at 29 cm. Based on these findings what actions the nurse implement.
- A. Notify the healthcare provider of the finding
- B. Document the finding in the medical record
- C. Schedule the client for a biophysical profile
- D. Request another nurse measure the fundus
Correct Answer: A
Rationale: Fundal height greater than expected may indicate a complication, so notifying the healthcare provider (A) is necessary.