A pregnant client tells the nurse that she only eats a plant-based diet.
How should the nurse counsel this client?

It is important that we refer you to a nutritionist to discuss your eating disorder.

Let's discuss how we can ensure adequate caloric intake and proper nutrients during your pregnancy.

Your newborn is at high risk for developing complications.

It is important that you incorporate meat products into your diet for protein during your pregnancy.

Answer and Explanation

The Correct Answer is B

Choice A rationale

A plant-based diet is not an eating disorder. It is a lifestyle choice, and many people maintain good health with such diets, especially with proper nutritional planning.

Choice B rationale

Proper counseling can help ensure that the pregnant client receives adequate calories and nutrients, which is crucial for the health of both the mother and the developing baby. A balanced diet can be achieved with plant-based foods.

Choice C rationale

While certain nutrients may be more challenging to obtain from a plant-based diet, it doesn't inherently put the newborn at high risk for complications if the diet is well-planned and balanced.

Choice D rationale

It is possible to obtain all necessary proteins from plant-based sources. Incorporating a variety of plant proteins can provide the necessary amino acids for both the mother and developing baby.

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Correct Answer is ["A","B","C"]

Explanation

Choice A rationale: Administer IV fluids with electrolytes: This is crucial to rehydrate the client and correct electrolyte imbalances caused by excessive vomiting, a common complication of hyperemesis gravidarum.

Choice B rationale: Offer small, frequent meals high in protein: Small, frequent meals can help manage nausea and vomiting by preventing the stomach from becoming empty, while high-protein foods can provide necessary nutrients and energy.

Choice C rationale: Administer antiemetics as prescribed: Antiemetics can help control nausea and vomiting, improving the client's ability to tolerate oral intake and maintain hydration and nutrition.

Choice D rationale: Encourage the client to increase oral fluid intake immediately: While increasing oral fluid intake is beneficial, it may not be immediately feasible due to the severity of nausea and vomiting in hyperemesis gravidarum. Hence, initial IV fluid therapy is prioritized.

Choice E rationale: Perform continuous fetal monitoring: Continuous fetal monitoring is not typically necessary in the early stages of pregnancy, especially at 11 weeks of gestation. The primary focus should be on stabilizing the mother's condition to support overall pregnancy health.

A. You will need to double your intake of iron during pregnancy. B. You will need to increase your calcium intake during breastfeeding. C. Vitamin E requirements decline during pregnancy due to the increase in body fat. D. Prenatal vitamins will meet your need for increased vitamin D during pregnancy.

Correct Answer is A

Explanation

Choice A rationale

Iron needs significantly increase during pregnancy to support the increased blood volume, the formation of the placenta, and the growth of the fetus. Pregnant women often require additional iron to prevent anemia and ensure adequate oxygen transport to the baby.

Choice B rationale

While calcium requirements do increase during breastfeeding to support milk production, this statement is not directly related to the nutritional needs during pregnancy. The focus during pregnancy should be on adequate intake of nutrients that support both maternal and fetal health.

Choice C rationale

Vitamin E requirements do not decline during pregnancy. In fact, the need for antioxidants like vitamin E may increase to protect both the mother and developing fetus from oxidative stress.

Choice D rationale

While prenatal vitamins are important for meeting various nutritional needs during pregnancy, they do not always provide sufficient vitamin D. Some women may need additional supplementation based on their dietary intake, sun exposure, and individual health needs.

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A pregnant client tells the nurse that she only eats a plant-based diet.How should the nurse counsel this client?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","C"]

Explanation

A nurse is providing teaching about nutrition to a client at her first prenatal visit.Which of the following statements by the nurse should be included in the teaching?

Correct Answer is A

Explanation

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A pregnant client tells the nurse that she only eats a plant-based diet.
How should the nurse counsel this client?