a nurse is caring for a pregnant client whose weight was normal prior to pregnancy the client asks how much weight they should gain during pregnancy

ATI RN

Nutrition ATI Test

1. A client who was normal weight before pregnancy asks about the recommended weight gain during pregnancy. What should the nurse advise?

A. 18-40 pounds
B. 25-35 pounds
C. 11-20 pounds
D. 15-25 pounds

Correct answer: B

Rationale: The correct answer is B: 25-35 pounds. According to standard prenatal guidelines, a client with a normal pre-pregnancy weight is recommended to gain between 25-35 pounds during pregnancy. This weight gain is important for the overall health of the mother and the developing baby. Choices A, C, and D are incorrect because they do not fall within the recommended weight gain range for a client with a normal pre-pregnancy weight.

2. A patient on a low-sodium diet should avoid which of the following foods?

A. Fresh fruits
B. Unsalted nuts
C. Canned soup
D. Plain rice

Correct answer: C

Rationale: Canned soup is the correct answer. Canned soups are often high in sodium due to added salt and should be avoided on a low-sodium diet. Fresh fruits (Choice A) are typically low in sodium and a good choice for a low-sodium diet. Unsalted nuts (Choice B) are also low in sodium and can be included in a low-sodium diet. Plain rice (Choice D) is a low-sodium food and can be part of a low-sodium diet.

3. Men generally have a higher RDA than women, except during pregnancy and lactation when women’s nutritional needs increase significantly.

A. TRUE
B. FALSE
C.
D.

Correct answer: A

Rationale: The statement is TRUE. Men typically require a higher Recommended Dietary Allowance (RDA) than women due to physiological differences. However, during pregnancy and lactation, women's nutritional needs increase significantly to support the growth and development of the baby. Therefore, during these stages, women may require a higher RDA compared to men. This exception is crucial to consider when evaluating nutritional requirements based on gender.

4. Which enzyme initiates protein digestion in the stomach?

A. Pepsin
B. Salivary Amylase
C. CCK
D. Secretin

Correct answer: A

Rationale: Pepsin is the enzyme that initiates protein digestion in the stomach. It breaks down proteins into smaller peptides, aiding in their further digestion and absorption in the intestines. Salivary Amylase (Choice B) functions in breaking down dietary carbohydrates in the mouth, not proteins. CCK (Choice C) and Secretin (Choice D) are hormones involved in the digestion of fats and carbohydrates, not proteins. Therefore, Choices B, C, and D are incorrect in the context of protein digestion in the stomach.

5. Bacterial growth and plaque formation are enhanced by a diet with frequent intake of retentive carbohydrates. Gingivitis is an irreversible change in the interdental papillary tissues.

A. Both statements are true
B. Both statements are false
C. The first statement is true; the second is false
D. The first statement is false; the second is true

Correct answer: C

Rationale: The correct answer is C. The first statement is true; retentive carbohydrates promote bacterial growth and plaque formation. However, the second statement is false; gingivitis is not irreversible and is often reversible with proper care. Gingivitis is the inflammation of the gums due to plaque buildup and poor oral hygiene. With good oral hygiene practices and professional dental care, gingivitis can be reversed. The other choices are incorrect because gingivitis is not irreversible, making statement two false.