The nurse is planning care for several pregnant patients. Which ...

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The nurse is planning care for several pregnant patients. Which patient is at the greatest risk for nutritional deficiency while pregnant?
 
  A) Patient who rarely eats fruit
  B) Patient with a 1-year-old son
  C) Patient with 10-year-old twins
  D) Patient who never follows a weight-reduction diet

Question 2

During a previous prenatal visit, the nurse focused on the importance of adequate nutritional intake with a pregnant patient. Which assessment findings indicate that this teaching has been effective? (Select all that apply.)
 
  A) Shiny hair
  B) Smooth tongue
  C) Conjunctiva pale
  D) Chipped finger nails
  E) Normal muscle reflexes

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Answer to Question 1

B
Feedback:
A pregnant woman with high parity or a short interval between pregnancies such as having a 1-year-old son may enter pregnancy with depleted nutritional reserves that she has little to draw on during the first part of pregnancy. The other pregnant patients may have nutritional deficiencies that can be corrected with vitamin supplementation or adjustments in the diet.

Answer to Question 2

A, B, E
Feedback:
Evidence of an adequate nutritional intake while pregnant includes shiny hair, smooth tongue, and normal muscle reflexes. Pale conjunctiva could indicate iron deficiency. Chipped fingernails could indicate inadequate protein intake.