a community health nurse is conducting a class on what to expect during pregnancy what instruction should the nurse include on weight gain

ATI RN

ATI Nutrition Practice Test B 2019

1. A community health nurse is conducting a class on what to expect during pregnancy. What instruction should the nurse include on weight gain?

A. Failure to obtain the required weight gain during pregnancy will increase the risk of preterm birth.
B. An obese client should not gain as much weight as a client with a normal body mass index.
C. A client with a normal body mass index should plan on gaining 50 pounds.
D. Clients do not need to eat for two when they are pregnant.

Correct answer: A

Rationale: Adequate weight gain during pregnancy is essential as failure to obtain the required weight gain can increase the risk of preterm birth. Choice B is incorrect because it is important for obese clients to gain an appropriate amount of weight during pregnancy, not the same as those with a normal body mass index. Choice C is incorrect as gaining 50 pounds for a client with a normal body mass index is excessive. Choice D is incorrect as the common saying 'eating for two' during pregnancy is a misconception; pregnant individuals do not need to double their caloric intake.

2. Where is Vitamin K synthesized?

A. by bacteria in the GI tract
B. by the body by sunlight
C. deficiency is called beriberi
D. found in vegetable oils

Correct answer: A

Rationale: Vitamin K is synthesized by bacteria in the gastrointestinal tract. Choice B is incorrect as the synthesis of Vitamin D, not K, can be induced by sunlight exposure. Choice C is incorrect as beriberi is a condition caused by thiamine (Vitamin B1) deficiency, not Vitamin K. Choice D is incorrect as Vitamin E is commonly found in vegetable oils, not Vitamin K.

3. A nurse is teaching a parent about appropriate snack choices for her 9-month-old infant. Which of the following food choices should the nurse recommend?

A. Skim milk
B. Unsalted popcorn
C. Graham crackers
D. Raw carrots

Correct answer: C

Rationale: Graham crackers are an appropriate snack choice for a 9-month-old infant due to their texture and ease of consumption. Skim milk (Choice A) is not recommended for infants under 1 year old due to the potential risk of developing milk allergies. Unsalted popcorn (Choice B) can be a choking hazard for infants. Raw carrots (Choice D) are a potential choking hazard for a 9-month-old infant and may be difficult for them to chew and digest.

4. What is the best snack choice for a preschool-age child?

A. Fruit snacks
B. Mini wheat bagel with peanut butter
C. White toast with jelly
D. Sports drink

Correct answer: B

Rationale: The best snack choice for a preschool-age child is a mini wheat bagel with peanut butter as it provides a good balance of carbohydrates, protein, and healthy fats. Fruit snacks, although they contain some fruit flavor, are often high in added sugars and lack essential nutrients. White toast with jelly may provide quick energy but lacks protein and healthy fats, which are important for a balanced snack choice. Sports drinks are typically high in sugar and unnecessary for a preschool-age child's snack, as they are designed for rehydration during intense physical activity, not as a regular snack option.

5. A client who follows the dietary laws of Orthodox Judaism is being cared for by a nurse. Which of the following meal choices should the nurse request for the client?

A. Turkey and cheese sandwich
B. Spaghetti with tomato sauce
C. Pork chop and applesauce
D. Scrambled eggs and bacon

Correct answer: B

Rationale: The correct meal choice for a client following the dietary laws of Orthodox Judaism is 'Spaghetti with tomato sauce.' Orthodox Judaism prohibits mixing meat and dairy and consuming pork. The other choices - 'Turkey and cheese sandwich' (mixing meat and dairy), 'Pork chop and applesauce' (contains pork), and 'Scrambled eggs and bacon' (mixing meat and dairy) - do not adhere to the kosher dietary laws.