A nurse is reinforcing teaching about nutritional needs with a client who is pregnant. Which of the following nutrients should the nurse instruct the client to increase during pregnancy?

Calcium

Vitamin E

Vitamin D

Iron

Answer and Explanation

The Correct Answer is D

Choice A rationale: While calcium is essential for bone health and other functions, the increased need for calcium during pregnancy is not as significant as the need for iron.
Choice B rationale: Vitamin E is important for overall health, including immune function and cell protection, but it is not specifically increased during pregnancy compared to other nutrients.
Choice C rationale: Vitamin D is important for bone health and immune function, but its increased need during pregnancy is not as significant as the need for iron.
Choice D rationale: During pregnancy, the body's need for iron increases to support the increased blood volume and provide for the developing fetus. Adequate iron intake helps prevent iron deficiency anemia in the pregnant woman and supports the baby's iron stores.

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Correct Answer is D

Explanation

Choice A rationale:
Primipara refers to a woman who is giving birth for the first time. While being a primipara may have some implications for the birthing process, it is not a cause of the newborn being small for gestational age.
Choice B rationale:
Maternal obesity may have various effects on pregnancy, but it is not specifically a direct cause of the newborn being small for gestational age.
Choice C rationale:
Perinatal asphyxia refers to a lack of oxygen or oxygen deprivation around the time of birth. While this can lead to various health issues for the newborn, it is not a primary cause of being small for gestational age.
Choice D rationale:
Placental insufficiency occurs when the placenta does not function adequately to provide sufficient oxygen and nutrients to the developing fetus. This can result in the newborn being small for gestational age due to restricted growth in the womb.

A. "A healthy newborn can lose 6% of his birth weight before starting to gain weight." B. "Why don't you switch to formula to make sure your baby is eating enough?" C. "It is common for new mothers to worry that they are not making enough milk for their baby." D. "Your newborn will need to remain in the hospital so his weight can be monitored."

Correct Answer is A

Explanation

Choice A rationale: Weight loss in the first few days after birth is normal for newborns, and a weight loss of up to 7-10% of the birth weight is considered within the expected range. A 6% weight loss is within normal limits, and it is reassuring to inform the mother that this is typical.
Choice B rationale: Suggesting switching to formula is not necessary based on the weight loss described. Breastfeeding provides adequate nutrition for most newborns, and early weight loss is typical and not a cause for alarm.
Choice C rationale: While it is true that new mothers may worry about breastfeeding and milk supply, this response does not address the specific weight loss concern and might not fully reassure the mother.
Choice D rationale: A 6% weight loss is within the expected range for a newborn and does not warrant hospitalization. It is a normal finding, and most newborns will start to regain their birth weight within a few days of life.

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A nurse is reinforcing teaching about nutritional needs with a client who is pregnant. Which of the following nutrients should the nurse instruct the client to increase during pregnancy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with the mother of a newborn who is small for gestational age. Which of the following should the nurse include as a cause of this condition?

Correct Answer is D

Explanation

Correct Answer is A

Explanation

A nurse is assisting in collecting data for a gestational age assessment on a newborn. Which of the following should the nurse check during a neuromuscular assessment? (Select all that apply.)

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A nurse is speaking on the phone to a client on the phone who is pregnant and taking iron supplements for iron-deficiency anemia. The client reports that her stools are black but she has no abdominal pain or cramping. Which of the following responses by the nurse is appropriate?

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