Needs of Maternal and Reproductive Health Clients

Needs of Maternal and Reproductive Health Clients Related

Review Needs of Maternal and Reproductive Health Clients related questions and content

In teaching a pregnant adolescent about nutrition, what should the nurse include in the care plan?

  • A. Determine the weight gain needed to meet adolescent growth and add 35 lb.
  • B. Suggest that she does not eat at fast food restaurants to avoid foods of poor nutritional value.
  • C. Realize that most adolescents are unwilling to make dietary changes during pregnancy.
  • D. Emphasize the need to eliminate common teen snack foods because they are too high in fat and sodium.
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.

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A pregnant patient's diet may not meet her need for folate. Which food choice is an excellent source of this nutrient?

  • A. Chicken
  • B. Cheese
  • C. Potatoes
  • D. Green leafy vegetables
Correct Answer: D

Rationale: The correct answer is D: Green leafy vegetables. Green leafy vegetables such as spinach, kale, and broccoli are excellent sources of folate, a crucial nutrient for pregnant women to prevent neural tube defects in the fetus. These vegetables are rich in natural folate, making them an ideal choice for meeting the increased folate requirements during pregnancy. Chicken (A), cheese (B), and potatoes (C) do not contain as high levels of folate as green leafy vegetables, making them less optimal choices for ensuring adequate intake of this essential nutrient during pregnancy.

When teaching a gravid client how to perform kick (fetal movement) counts which instruction should the nurse includes.

  • A. Exercise for 15 before starting the counting to help increase fetal movement
  • B. Count the movements once daily for one hour, before breakfast
  • C. Avoid caffeinated drinks for 24 hours before conducting the kick test.
  • D. If 10 kicks are not felt within 1 hr, drink orange juice and count for another hour.
Correct Answer: D

Rationale: Drinking orange juice can stimulate fetal movement if counts are low (D).

The nurse is caring for a laboring client who is GBS+ (Group B streptococcus). Which immediate treatment is indicated for this client?

  • A. Administration of Pitocin
  • B. Artificial rupture of the membrane
  • C. Amnioinfusion for the baby
  • D. Administration of antibiotics
Correct Answer: D

Rationale: Antibiotics (D) are administered to GBS+ mothers to prevent neonatal infection.

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.

The nurse identifies crepitus when examining the chest of a newborn who was delivered vaginally. Which further assessment should the nurse perform?

  • A. Elicit positive scarf sign on the affected side
  • B. Observe for an asymmetrical Moro (startle) reflex
  • C. Watch for swelling of fingers on the affected side
  • D. Note paralysis of affected extremity and muscles
Correct Answer: B

Rationale: The most common neonatal birth trauma due to vaginal delivery is fracture of the clavicle. Although an infant may be asymptomatic, a fracture clavicle should be suspected is an infant has limited use of the affected arm malposition of the arm, an asymmetric Moro reflex (B), crepitus over the clavicle, focal swelling or tenderness, or cries when the arm is moved.

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