A client is pregnant for the third time. In regard to her nutritional status, she should:
1. Limit her weight gain to a maximum of about 25 pounds
2. Approximately double her protein intake
3. Increase her vitamin A and milk product consumption
4. Increase her intake of folic acid
ANS: 4
Folic acid intake is particularly important for DNA synthesis and the growth of red blood cells. Inadequate intake may lead to fetal neural tube defects, anencephaly, or maternal megaloblastic anemia. It is now recommended that women planning future pregnancies discuss preconception folic acid supplements. The recommended weight gain for pregnancy is 25 to 35 pounds for the woman of average weight. There is no need for the client to limit her weight gain to a maximum of 25 pounds on the basis of this being her third pregnancy. The client needs to increase her pro-tein intake to 60 g during pregnancy; she does not need to double it. (This is an increase of ap-proximately 20 g of protein.) Prenatal care usually includes vitamin and mineral supplementation to ensure daily intakes. The recommended intake of vitamin A does not increase over the non-pregnant state. Calcium intake increases from 800 mg to 1200 mg during pregnancy.
You might also like to view...
The nurse is caring for clients on the medical-surgical unit. What action by the nurse will help prevent a client from having a type II hypersensitivity reaction?
a. Administering steroids for severe serum sickness b. Correctly identifying the client prior to a blood transfusion c. Keeping the client free of the offending agent d. Providing a latex-free environment for the client
When providing secondary prevention activities for individuals experiencing the psychological consequences of a disaster, which of the following would the nurse do as a general approach?
A) Provide situational support for stress relief B) Convey warmth and concern for the client C) Teach about expected emotional reactions D) Reunify family members who were separated
The nurse is teaching a patient about the available medications for smoking cessation. All of the following would be appropriate to teach the older person except….?
a. Bupropion SR is an acceptable medication b. the patch provides a steady dose of nicotine c. inhalers and nose sprays are now available over the counter d. gum may help control cravings
A female college student is admitted to a hospital after a suicide attempt that was precipitated by receiving mediocre grades this semester. She reports, "I'm such a failure. I should have done better. It's not enough to be average"
According to Freud's psychoanalytic theory, which structure of her personality should a nurse recognize as predominant? A) Id B) Ego C) Self D) Superego