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1. The nurse knows her instructions on healthy eating during pregnancy have been effective when the woman verbalizes she should:
a. Eliminate coffee and other sources of caffeine
b. Increase her intake of milk to 4 cups/day
c. Eliminate hot dogs and deli meats unless heated to steaming hot immediately before eating
d. Avoid seafood because of its mercury content
1. When advising new mothers, what are the best recommendations for the nurse to make?
Select all that apply.
a. Consume an additional 500 calories per day
b. Drink a glass of water with each feeding
c. Breastfeed for the first 6 months exclusively
d. Drink a glass of water with each meal
e. Eliminate caffeine and alcohol
f. Breastfeed for first 3 months of infancy, then add soft consistency foods
A B C D
1. What is recommended weight gain for normal weight (BMI of 18.5-24.9) pregnant women?
a. 25-35 lbs
b. 40-50 lbs
c. 11-20 lbs
c. 15-25 lbs
1. What is false about the recommended additional calorie intake for pregnant women of normal, healthy weight?
a. Pregnant women do not need additional calories, they are able to use calories from fat on their bodies.
b. During the second trimester, an extra 340 calories per day is recommended.
c. Healthy pregnant women need approximately 2,200-2,900 calories per day.
During the third trimester, an additional 452 calories per day is needed
1. A nurse advising a pregnant woman in her second trimester knows her teaching has not been effective when the patient states:
a. "I can still drink my morning coffee, but I have to limit my intake of caffeine to less than 200mg a day."
b. "I should consume 8-12 oz of seafood a week, excluding shark, swordfish, and king mackerel."
c. "I can still consume my calming herbal teas, as long as my caffeine intake is below 200mg."
d. "I have to completely eliminate bologna while pregnant, even though it is one of my cravings"
1. The client asks if her 10-year-old daughter needs a weight loss diet. Which of the following would be the nurse's best response?a. "You should forbid her from eating sweets and oils until she loses weight."b. "She needs extra calories for the upcoming growth spurt so you should be encouraging her to eat high-calorie foods."
c. "Because prevention of overweight is more effective than treatment, you should start to limit her calorie intake by only providing low-fat and artificially sweetened foods.
d. "Ten-year-old girls are about to enter the growth spurt of puberty, and it is natural for her to gain weight before she grows taller. Diets are not recommended for children, but healthy eating is recommended."
1. When is a child ready for spoon feedings? Select all that apply.
a. Ability to sit up
b. Ability to hold head up
c. Ability to hold the spoon
d. One year of age
e. After breastfeeding is discontinued
4-6 months of age
A B F
Parents are the
___primary gatekeepers____ for their children's nutritional success
Annually, a healthy child should grow
2-3__ inches and gain __5-6___ pounds.
1. The nurse is educating a new mother on the process and benefits of breast feeding. What information is incorrect?
a. Breastfeeding decreases the incidence and severity of infectious diseases.
b. Breastfed babies need Vitamin D supplementation
c. Breastfeeding should be continued for the first year of life
d. The infant should be fed from the same breast continuously to develop a routine feeding
Adolescents are often deficient in vitamins and minerals such as
Fiber, vitamin A, calcium, potassium, iron
What are some reasons for these deficiencies
-iron - increased need related to expanding blood volume (females - make up for menstrual loss)
-increased soft drink consumption
-breakfast skipping - adolescent females
-lack adequate fruits, veggies, dairy products, and whole grains
A client complains that she is not eating any more than she did when she was 30 years old and yet she keeps gaining weight. Which of the following would be the nurse's best response?
a. "You may not think you are eating more calories but you probably are because of the food that is served here."
b. "Weight gain is an inevitable consequence of getting older related to changes in your body composition. DO not worry about it because old people are healthier when they are heavy."
c. "As people get older, they lose muscle mass, which lowers their calorie requirements, and physical activity often decreases too. You can increase the number of calories you burn by building muscle with resistance exercises and increasing your activity."
d. "Weight gain among older adults is unavoidable and untreatable. Concentrate on eating a healthy eating pattern and forget about weight."
1. A 75-year-old woman is concerned about the high risk of osteoporosis in elderly women. What does the patient state that is concerning to the nurse?
a. "Fruits and vegetables are expensive, but my son makes sure I always have some in the fridge!"
b. "I love milk, I drink a glass of milk with every meal."
c. "I do not go outside a lot because I would much rather be inside watching my favorite show."
d. "I try to exercise with 3 pound weights throughout the week."
Who is at greatest risk of a poor diet?
1. A new nurse is inquiring about the older adult population. After consulting with an experienced, older nurse she reflects on her new knowledge. What is false about this population in particular?
a. Calorie needs are to be decreased, but the vitamin and mineral intake should remain the same.
b. Elderly people often have dementia, so educating them is a more difficult, lengthy process.
c. Sarcopenia is common in this population and can cause a lack of mobility in the elderly.
d. Patients must be assessed for problems with digestion, chewing, and lack of senses which may contribute to malnutrition.
1. When advising the floor of a geriatric unit, what are some tips for elderly nutrition? Select all that apply.
a. Include familiar, comfort foods.
b. Eat with company
c. Choose foods like apple sauce or canned vegetables for a softer consistency
d. Add salt if food lacks taste
e. Season foods differently to add flavor
f. Eat rare meats if enjoyed that way
g. Assess for problems with chewing, swallowing, weight gain/loss
A B C E G
Adequate intake of fiber: men and women
men __38__ g/day women ___25____ g/day
1. The nurse knows her instructions about vitamin B12 have been effective when the older client verbalizes he will:
a. Consume more meat
b. Drink more milk
c. Eat fruits and veggies with every meal
d. Eat vitamin B12-fortified cereal
1. For which of the following situations is a pureed diet most appropriate?
a. As an initial oral diet after surgery to establish tolerance.
b. As a transition between a full liquid diet and a regular diet
c. For patients who have had their jaw wired
d. For patients who need a low-fiber diet
1. Which type of enteral formula would be most appropriate for a patient experiencing malabsorption related to inflammatory bowel disease?
a. A standard intact formula
b. A fiber-enriched intact formula
c. A hydrolyzed formula for malabsorption
d. A patient with malabsorption cannot receive EN
1. A patient that has a scheduled bowel surgery and is inquiring about the procedure. What should the nurse inform him of regarding his allowed diet prior to the surgery?
a. Blenderized formula
b. Modified Consistency diet
c. Clear liquid diet
d. Pureed diet
1. The nurse knows her education on intermittent bolus feedings has not been sufficient for the patient when the patient states:
a. "In a bolus feeding, a large amount of formula is delivered in a shorter amount of time."
b. "It is best to infuse into bolus feedings into the intestine."
c. "Bolus feedings are great for patients who want to be more independent in their feedings."
d. "Symptoms such as nausea, vomiting, diarrhea, distention, and cramps, otherwise known as dumping syndrome, can occur with bolus feedings."
If the __gut___ works
List a few possible complications that can occur with tube-feeding
-Distention and bloating
1. When is parenteral nutrition utilized in patients? Select all that apply.
a. Patient has a nonfunctional GI tract
b. Surgical patients of low socioeconomic status
c. Patients with severe short bowel syndrome
d. 50-year-old woman scheduled for colonoscopy
e. 90-year-old patient struggling with dysphagia in the nursing home
f. When enteral nutrition is not feasible
g. Patients with paralytic ileus
A C F G
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