Concerning protein in the diet of pregnant women, nurses should ...

[pane00]

Concerning protein in the diet of pregnant women, nurses should be aware that:
 
  1. many protein-rich foods are also good sources of calcium, iron, and B vitamins.
  2. many women need to increase their protein intake during pregnancy.
  3. as with carbohydrates and fat, no specific recommendations exist for the amount of protein in the diet.
  4. high-protein supplements can be used without risk by women on macrobiotic di-ets.

Question 2

A patient is to have an amniotomy to induce labor. The nurse recognizes that the priority intervention following the amniotomy is to:
 
  1. apply clean linens under the woman.
  2. take the patient's vital signs.
  3. perform a vaginal exam.
  4. assess the FHR.

[Kaytorgator]

Answer to Question 1

1
1. Correct. Good protein sources such as meat, milk, eggs, and cheese have a lot of calcium and iron.
2. Incorrect. Most women already have a high-protein diet and do not need to increase their intake.
3. Incorrect. Protein is sufficiently important that specific servings of meat and dairy are recommended.
4. Incorrect. High-protein supplements are not recommended because they have been asso-ciated with an increased incidence of preterm births.

Answer to Question 2

4
1. Incorrect. Providing comfort measures for the patient is important, but it is not the priori-ty immediately following an amniotomy.
2. Incorrect. The woman's temperature should be checked every 2 hours following AROM, but this is not the priority at this time.
3. Incorrect. The woman would have had a vaginal exam during the procedure. Unless there is suspicion of a cord prolapse, a vaginal exam is not warranted. Additionally, FHR assess-ment would provide clinical cues to a prolapsed cord.
4. Correct. The FHR is assessed before and immediately after the amniotomy to detect any changes that might indicate cord compression or prolapse.