A pregnant patient who is a lacto-vegetarian asks the nurse for ...

[TVarnum]

A pregnant patient who is a lacto-vegetarian asks the nurse for assistance with her diet. What instruction should the nurse give? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
 
  Select all that apply. 1. Protein is important; therefore, the addition of one serving of meat a day is necessary.
  2. A daily supplement of 4 mg vitamin B12 is important.
  3. The high fiber in a vegetarian diet is dangerous for pregnant women.
  4. Eggs are important to add to your diet. Eat six eggs per week.
  5. Milk products contain protein, but they are very low in iron.

Question 2

A postpartum mother questions whether the environmental temperature should be warmer in the baby's room at home. The nurse responds that the environmental temperature should be warmer for the newborn.
 
  This response is based on which newborn characteristics that affect the establishment of thermal stability? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Newborns have less subcutaneous fat than do adults.
  2. Infants have a thick epidermis layer.
  3. Newborns have a large body surface to weight ratio.
  4. Infants have increased total body water.
  5. Newborns have more subcutaneous fat than do adults.

[tuate]

Answer to Question 1

2,5
Rationale 1: Lacto-vegetarians do not eat meat, meat by-products, or eggs, and the nurse cannot force this issue. Most vegetables must be combined with another food to form complete proteins.
Rationale 2: The lack of meat and meat by-products requires the patient to take a dietary supplement of vitamin B12. Lacto-vegetarians eat only vegetable and fruit products and dairy.
Rationale 3: The high fiber found in vegetarian diets actually is good for the pregnant woman whose gastrointestinal tract has slowed down.
Rationale 4: Lacto-vegetarians do not eat meat, meat by-products, or eggs, and the nurse cannot force this issue. Most vegetables must be combined with another food to form complete proteins.
Rationale 5: Milk products will provide needed protein, but are not significant sources of iron.

Answer to Question 2

1, 3, 4
Explanation: 1. Heat transfer from neonatal organs to skin surface is increased compared to adults due to the neonate's decreased subcutaneous fat.
3. Heat transfer from neonatal organs to skin surface is increased compared to adults due to the neonate's large body surface to weight ratio.
4. Preterm infants have increased heat loss via evaporation due to increased total body water.