Test bank for maternity nursing revised reprint 8th edition by lowdermilk

DIF: Cognitive Level: Comprehension REF: 241 OBJ: Client Needs: Physiologic Integrity TOP: Nursing Process: Planning... DIF: Cognitive Level: Knowledge REF: 252 OBJ: Client Needs: Physio

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Link download full: Test Bank for Maternity Nursing Revised Reprint 8th

a This weight gain indicates possible

gestational hypertension

b This weight gain indicates that the

woman’s infant is at risk for intrauterine

growth restriction (IUGR)

c This weight gain cannot be evaluated until

the woman has been observed for several

more weeks

d The woman’s weight gain is appropriate

for this stage of pregnancy

ANS: D

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Feedback

A Although this is an accurate statement, it

does not apply to this patient The

desirable weight gain during pregnancy varies among women The primary factor

to consider in making a weight gain

recommendation is the appropriateness of the pre-pregnancy weight for the woman’s height A commonly used method of

evaluating the appropriateness of weight for height is the BMI This woman has gained the appropriate amount of weight for her size at this point in her pregnancy

B Although this is an accurate statement, it

does not apply to this patient The

desirable weight gain during pregnancy varies among women The primary factor

to consider in making a weight gain

recommendation is the appropriateness of the pre-pregnancy weight for the woman’s height A commonly used method of

evaluating the appropriateness of weight for height is the BMI This woman has gained the appropriate amount of weight for her size at this point in her pregnancy

C Weight gain should take place throughout

the pregnancy The optimal rate of weight gain depends on the stage of the

pregnancy

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D This is an accurate statement This

woman’s BMI is in the normal range

During the first trimester, the average total

weight gain is only 1 to 2.5 kg

DIF: Cognitive Level: Analysis REF: 243

OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Assessment

2 Which of the following meals would provide the most absorbable iron?

a Toasted cheese sandwich, celery sticks,

tomato slices, and a grape drink

b Oatmeal, whole wheat toast, jelly, and

low-fat milk

c Black bean soup, wheat crackers,

ambrosia (orange sections, coconut, and

pecans), and prunes

d Red beans and rice, cornbread, mixed

greens, and decaffeinated tea

ANS: C

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Feedback

A Food sources that are rich in iron include

liver, meats, whole grain or enriched

breads and cereals, deep green leafy

vegetables, legumes, and dried fruits

Dairy products are not a source of iron

B Food sources that are rich in iron include

vegetables, legumes, and dried fruits

Dairy products are not a source of iron

C Food sources that are rich in iron include

vegetables, legumes, and dried fruits The

foods in this meal are all good sources of

iron In addition, the vitamin C in ambrosia

(orange sections) aids absorption

D Food sources that are rich in iron include

vegetables, legumes, and dried fruits Tea

is not a source of iron

DIF: Cognitive Level: Comprehension REF: 241

OBJ: Client Needs: Physiologic

Integrity TOP: Nursing Process: Planning

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A Needs for energy, protein, calcium, iodine,

zinc, the B vitamins, and vitamin C remain

greater during lactation than during

pregnancy

B Needs for energy, protein, calcium, iodine,

pregnancy

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C Needs for energy, protein, calcium, iodine,

pregnancy

D Needs for energy, protein, calcium, iodine,

pregnancy

DIF: Cognitive Level: Knowledge REF: 252

4 A pregnant woman experiencing nausea and vomiting should:

a Drink a glass of water with a fat-free

carbohydrate before getting out of bed in

the morning

b Eat small, frequent meals (every 2 to 3

hours)

c Increase her intake of high-fat foods to

keep the stomach full and coated

d Limit fluid intake throughout the day

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ANS: B

Feedback

A A pregnant woman experiencing nausea

and vomiting should avoid consuming

fluids early in the day or when nauseated

B This is a correct suggestion for a woman

experiencing nausea and vomiting

C A pregnant woman experiencing nausea

and vomiting should reduce her intake of

fried and other fatty foods

D A pregnant woman experiencing nausea

and vomiting should avoid consuming

fluids early in the morning or when

nauseated but should compensate by

drinking fluids at other times

5 Which statement made by a lactating woman would lead the nurse to believe that the woman might have lactose intolerance?

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a “I always have heartburn after I drink milk.”

b “If I drink more than a cup of milk, I usually

have abdominal cramps and bloating.”

c “Drinking milk usually makes me break out

in hives.”

d “Sometimes I notice that I have bad breath

after I drink a cup of milk.”

ANS: B

Feedback

A One problem that can interfere with milk

consumption is lactose intolerance, which

is the inability to digest milk sugar because

of a lack of the enzyme lactose in the

small intestine Milk consumption may cause abdominal cramping, bloating, and diarrhea in such people, although many lactose-intolerant individuals can tolerate small amounts of milk without symptoms

B These symptoms are consistent with

lactose intolerance

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C One problem that can interfere with milk

small intestine Milk consumption may

cause abdominal cramping, bloating, and

diarrhea in such people, although many

lactose-intolerant individuals can tolerate

small amounts of milk without symptoms

D One problem that can interfere with milk

small intestine Milk consumption may

cause abdominal cramping, bloating, and

diarrhea in such people, although many

lactose-intolerant individuals can tolerate

small amounts of milk without symptoms

DIF: Cognitive Level: Application REF: 247

Integrity TOP: Nursing Process: Assessment

6 A pregnant woman’s diet history indicates that she likes the following list

of foods The nurse would encourage this woman to consume more of which food to increase her calcium intake?

a Fresh apricots

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A Apricots are not high in calcium

B Canned clams are not high in calcium

C Spaghetti with meat sauce is not high in

calcium

D Sardines are rich in calcium

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7 A 27-year-old pregnant woman had a preconceptual body mass index (BMI) of 18.0 The nurse knows that this woman’s total recommended weight gain during pregnancy should be at least:

A This weight gain would be unhealthy for

most women This woman has a normal

BMI and should gain 11.5 to 16 kg during

pregnancy

B This is the high end of the range of weight

this woman should gain in her pregnancy

C This woman has a normal BMI and should

gain 11.5 to 16 kg during pregnancy

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D This weight gain would be appropriate for

an obese woman This woman has a

normal BMI, which indicates that her

weight is average

OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Planning

8 A woman in week 34 of pregnancy reports that she is very

uncomfortable because of heartburn The nurse would suggest that the woman:

a Substitute other calcium sources for milk

in her diet

b Lie down after each meal

c Reduce the amount of fiber she

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Feedback

A Eliminating milk in the diet is an

inappropriate dietary suggestion for all

pregnant women, and it does not alleviate

heartburn

B Lying down after meals may actually

increase the symptoms of heartburn

C Reducing the amount of dietary fiber

consumed is not likely to alleviate

heartburn

D Eating small, frequent meals may help with

heartburn, nausea, and vomiting

9 A woman has come to the clinic for preconception counseling because she wants to start trying to get pregnant in 3 months She can expect the following advice:

a “Discontinue all contraception now.”

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b “Lose weight so that you can gain more

during pregnancy.”

c “You may take any medications you have

been taking regularly.”

d “Make sure that you include adequate folic

acid in your diet.”

ANS: D

Feedback

A Depending on the type of contraception

used, this may not be an accurate

statement

B This statement is not appropriate advice

C Depending on the type of medication the

woman is taking, this may not be an

accurate statement

D A healthy diet before conception is the

best way to ensure that adequate nutrients are available for the developing fetus A

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woman’s folate or folic acid intake is of

particular concern in the periconception

period Neural tube defects are more

common in infants of women with a poor

folic acid intake

OBJ: Client Needs: Health Promotion and Maintenance TOP: Nursing Process: Planning

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A Iron supplements are best absorbed if they

are taken when the stomach is empty Iron

can be taken at bedtime if abdominal

discomfort occurs when it is taken

between meals

B Taking the iron supplement at bedtime is

helpful in reducing gastrointestinal

discomfort

C Iron supplements are best absorbed if they

are taken when the stomach is empty Iron

can be taken at bedtime if abdominal

discomfort occurs when it is taken

between meals

D Iron supplements are best absorbed if they

are taken when the stomach is empty

Bran, tea, coffee, milk, and eggs may

reduce absorption

11 Pregnant adolescents are at high risk for _ because of lower body mass indices (BMIs) and “fad” dieting

a Obesity

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A Obesity is associated with higher BMIs

Adolescents typically have a lower BMI because they are still developing and they may follow unsafe nutritional practices

B Diabetes is associated with higher BMIs,

or obesity Adolescents typically have a lower BMI because they are still

developing and they may follow unsafe nutritional practices

C Adolescents tend to have lower BMIs In

addition, the fetus and still-growing mother appear to compete for nutrients These factors, along with inadequate weight gain, lend themselves to a higher incidence of low-birth-weight babies

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D High-birth-weight babies are frequently

associated with women who have

gestational diabetes or obesity

Adolescents typically have a lower BMI,

because they are still developing and they

may follow unsafe nutritional practices

OBJ: Client Needs: Health Promotion and Maintenance

TOP: Nursing Process: Assessment, Diagnosis

12 Which statement about acronyms in nutrition is accurate?

a Dietary reference intakes (DRIs) consist of

RDAs, adequate intakes (AIs), and upper

limits (ULs)

b Recommended dietary allowances (RDAs)

are the same as ULs, except with better

data

c AIs offer guidelines for avoiding excessive

amounts of nutrients

d They all refer to green, leafy vegetables;

whole grains; and fruit

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ANS: A

Feedback

A DRIs consist of RDAs, AIs, and ULs AIs

are similar to RDAs, except that they deal with nutrients about which data are

insufficient for certainty (RDA status) ULs are guidelines for avoiding excesses of nutrients for which excess is toxic Green, leafy vegetables; whole grains; and fruit are important, but they are not the whole nutritional story

B DRIs consist of RDAs, AIs, and ULs AIs

C DRIs consist of RDAs, AIs, and ULs AIs

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D DRIs consist of RDAs, AIs, and ULs AIs

are similar to RDAs, except that they deal

with nutrients about which data are

insufficient for certainty (RDA status) ULs

are guidelines for avoiding excesses of

nutrients for which excess is toxic Green,

leafy vegetables; whole grains; and fruit

are important, but they are not the whole

nutritional story

Integrity TOP: Nursing Process: Assessment

13 With regard to protein in the diet of pregnant women, nurses should be aware that:

a Many protein-rich foods are also good

sources of calcium, iron, and B vitamins

b Many women need to increase their

protein intake during pregnancy

c As with carbohydrates and fat, no specific

recommendations exist for the amount of

protein in the diet

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d High-protein supplements can be used

without risk by women on macrobiotic diets

ANS: A

Feedback

A Good protein sources such as meat, milk,

eggs, and cheese have a lot of calcium and iron

B Most women already eat a high-protein

diet and do not need to increase their intake

C Protein is sufficiently important that

specific servings of meat and dairy are recommended

D High-protein supplements are not

recommended because they have been associated with an increased incidence of preterm births

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14 Which nutritional recommendation about fluids is accurate?

a A woman’s daily intake should be eight to

10 glasses (2.3 L) of water, milk, and/or

juice

b Coffee should be limited to no more than 2

cups, but tea and cocoa can be consumed

without worry

c Of the artificial sweeteners, only

aspartame has not been associated with

any maternity health concerns

d Water with fluoride is especially

encouraged because it reduces the child’s

risk of tooth decay

ANS: A

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