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. Ask what the patient ate and drank within the last day or two.This is because the nurse needs to assess the patient’s current nutritional status and eating habits before providing any education or advice.The nurse can then tailor the counseling to the patient’s specific needs and preferences.
Choice A is wrong because it is not the first action that the nurse should take.While it is important to explain the importance of adequate nutrition for the patient’s own growth and development, this should be done after assessing the patient’s current situation.
Choice B is wrong because it is not the first action that the nurse should take.While it is important to explain the relationship between the patient’s eating habits and fetal development, this should be done after assessing the patient’s current situation.
Choice D is wrong because it is not the first action that the nurse should take.While it is important to discuss with the patient the basic nutritional requirements of pregnancy, this should be done after assessing the patient’s current situation.
The normal ranges for nutritional intake during pregnancy vary depending on the age, weight, activity level, and health status of the patient.
However, some general guidelines are:
• Increase calorie intake by about 300 calories per day
• Increase protein intake by about 25 grams per day
• Increase calcium intake by about 1000 milligrams per day
• Increase iron intake by about 27 milligrams per day
• Increase folic acid intake by about 600 micrograms per day
• Increase fluid intake by about 8 to 10 cups per day
Correct Answer is C
Explanation
The correct answer is choice C. Stretching your legs and pointing your toes toward your knee will bring relief from the leg cramps.This is because stretching can help relax the muscle and ease the spasm.
Choice A is wrong because elevating your legs may not help with leg cramps, and may actually worsen them by reducing blood flow to the muscles.
Choice B is wrong because massaging your legs may not be enough to relieve the cramps, and may also cause more pain if done too hard or too fast.
Choice D is wrong because putting a cold compress on the calf of your leg may not be effective for leg cramps, and may also cause more discomfort or inflammation.
Leg cramps are common during pregnancy, especially in the second and third trimester.They are caused by various factors, such as pregnancy weight gain, changes in blood circulation, pressure on the nerves and blood vessels, nutrient deficiency, lack of exercise, or fluid buildup in your legs.To prevent or reduce leg cramps, you should drink plenty of water, stay active, eat a balanced diet rich in calcium, magnesium, and potassium, avoid standing or sitting for long periods of time, wear comfortable shoes and socks, and sleep on your left side with a pillow under or between your legs.
If leg cramps persist or become severe, you should consult your healthcare provider for possible treatment options.
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