A 14-year-old patient is 10 weeks pregnant.
In order to plan nutritional counseling for this patient, the nurse should have which understanding about adolescents’ nutritional needs during pregnancy?
They need less supplemental iron than women who have been menstruating longer because their reserves are generally greater.
They have less need for simple carbohydrates than older women because they are able to convert fat stores into usable glucose.
Their need for protein exceeds that of pregnant women over 20 years of age.
Their need for vitamin C is greater than that of pregnant women over 20 years of age.
The Correct Answer is C
The correct answer is choice C. Adolescents need more protein than older pregnant women because they are still growing themselves and need to support the growth of the baby and the placenta. Protein can be found in meat, poultry, fish, eggs, dairy products, beans, nuts, and fortified cereals.
Choice A is wrong because adolescents need more supplemental iron than older women, not less. This is because they have lower iron stores due to rapid growth and menstruation. Iron deficiency can cause anemia and increase the risk of infections and bleeding. Iron can be found in meat, poultry, fish, eggs, dairy products, beans, nuts, and fortified cereals.
Choice B is wrong because adolescents need more carbohydrates than older women, not less. Carbohydrates provide energy for the mother and the baby and spare protein for other functions. Carbohydrates can be found in grains, fruits, vegetables, and dairy products.
Choice D is wrong because adolescents need the same amount of vitamin C as older pregnant women, which is 85 milligrams per day. Vitamin C helps with wound healing, collagen formation, iron absorption, and immune function. Vitamin C can be found in citrus fruits, tomatoes, peppers, broccoli, potatoes, and fortified juices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C. The reason for the patient’s visit at this time.
This information will help the nurse assess the patient’s motivation, readiness, and urgency for contraception.
It will also help the nurse tailor the education and counseling to the patient’s specific needs and preferences.
Choice A is wrong because the amount of sexual experience that the patient has had is not relevant to determine the patient’s knowledge base.
It may also make the patient feel uncomfortable or judged.
Choice B is wrong because the type of contraceptive that the patient’s friends are using is not a reliable source of information.
Different methods may have different advantages and disadvantages for different people.
The nurse should provide evidence-based information and guidance on various options.
Choice D is wrong because the method of contraception that the patient believes will provide protection from sexually transmitted diseases may not be accurate or effective.
Correct Answer is B
Explanation
The correct answer is choice B. She works as a part-time oncology nurse.This is because oncology nurses are exposed toteratogenic agents, which are substances that can cause abnormalities in an exposed fetus.Teratogenic agents can cross the placenta and alter fetal morphology or function.Examples of teratogenic agents are lead, methyl mercury, polychlorinated biphenyls, lithium, vitamin K antagonists, tobacco, rubella, cytomegalovirus, ionizing agents, hyperthermia, diabetes, and some drugs.
Choice A is wrong because living with two dogs at home does not pose a high risk for exposure to teratogenic agents.Dogs can be beneficial for pregnant women as they provide companionship and exercise.
Choice C is wrong because being a lacto-ova vegetarian does not pose a high risk for exposure to teratogenic agents.Lacto-ova vegetarians can get adequate nutrition from plant-based foods, dairy products, and eggs.
Choice D is wrong because commuting to work on a train does not pose a high risk for exposure to teratogenic agents.Trains are a safe and convenient mode of transportation for pregnant women.
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