When counseling a newly pregnant client at 8 weeks' gestation of ...

[natalie2426]

When counseling a newly pregnant client at 8 weeks' gestation of twins, the nurse teaches the woman about the need for increased caloric intake. What would the nurse tell the woman that the minimum recommended intake should be?
 
  1. 2500 kcal and 120 grams protein
  2. 3000 kcal and 150 grams protein
  3. 4000 kcal and 135 grams protein
  4. 5000 kcal and 190 grams protein

Question 2

The charge nurse is giving an in-service to the orthopedic and gynecology nurses concerning the relationship between estrogen and osteoporosis. A statement the nurse would make concerning this relationship would be:
 
  1. Males have a higher incidence of osteoporosis than do females..
  2. Women who experience menopause at a younger age and have less bone mass could have more bone loss..
  3. Estrogen levels affect only bone mass, but have nothing to with bone strength and bone density..
  4. Osteoporosis puts the patient at a decreased risk for fractures of the forearm and vertebrae..

[strudel15]

Answer to Question 1

3
Explanation: 3. 4000 kcal and 135 grams protein is the recommended caloric and protein intake in a twin-gestation pregnancy.

Answer to Question 2

2
Rationale 1: Females have a higher incidence. Eighty percent of diagnosed osteoporosis cases are in women.
Rationale 2: This is a true statement, as women who experience menopause at a younger age and have less bone mass lose the benefit of estrogen for more years.
Rationale 3: Estrogen affects bone mass, strength, density, and quality.
Rationale 4: Osteoporosis puts the patient at a greater risk for fractures of the hip, forearm, and vetebrae.

[natalie2426]

Excellent

Thanks for the timely response, appreciate it