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?
“Vitamin E requirements decline during pregnancy due to the increase in body fat.”
“You will need to double your intake of iron during pregnancy.”
“You will need to increase your calcium intake during breastfeeding.”
“Prenatal vitamins will meet your need for increased vitamin D during pregnancy.”
The Correct Answer is D
Choice A rationale
Vitamin E is an important nutrient during pregnancy as it acts as an antioxidant, helping to protect cells from damage. However, its requirements do not decline during pregnancy due to an increase in body fat.
Choice B rationale
While iron is an important nutrient during pregnancy, it’s not necessary to double your intake. Iron needs do increase during pregnancy because it’s needed to make more blood to supply oxygen to the baby. However, this should be managed under the guidance of a healthcare provider.
Choice C rationale
While it’s true that calcium intake should be increased during breastfeeding, this is not specifically related to nutrition during pregnancy. During pregnancy, adequate calcium intake is important for the development of the baby’s bones and teeth.
Choice D rationale
Prenatal vitamins are designed to meet the increased nutritional needs of pregnancy, and they include a variety of vitamins and minerals. One of these is vitamin D, which helps the body absorb calcium and is important for the baby’s bone growth. Therefore, taking prenatal vitamins can indeed help to meet the need for increased vitamin D during pregnancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
The nurse should include in the teaching that a client who is 23 weeks pregnant can receive an influenza vaccination during pregnancy. This is because the influenza vaccine is safe and recommended for pregnant women to protect both the mother and the baby from the flu.
Choice B rationale
The rubella vaccine is a live vaccine and is not recommended during pregnancy or while breastfeeding due to the potential risk to the baby. However, it can be given immediately after delivery if the woman is not immune.
Choice C rationale
The varicella vaccine is also a live vaccine and is not recommended during pregnancy. It should be given before pregnancy or immediately after delivery if the woman is not immune.
Choice D rationale
The Tdap (Tetanus, Diphtheria, Pertussis) vaccine is actually recommended during each pregnancy, regardless of the patient’s previous history of receiving the vaccine. The optimal timing for Tdap administration is between 27 and 36 weeks of gestation.
Correct Answer is B
Explanation
The correct answer is B. Evidence-based practice. Sharing the latest research on improving breastfeeding success for first-time mothers supports the Quality and Safety Education for Nurses competency of Evidence-based practice. This competency emphasizes the use of current evidence in making decisions about the care of individual patients or delivery of health services.
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