The pregnant client at 23 weeks' gestation has a hemoglobin of ...

[tatyanajohnson]

The pregnant client at 23 weeks' gestation has a hemoglobin of 9.5. Which diet choice indicates that teaching has been effective?
 
  1. Tofu with mixed vegetables in curry, milk, whole-wheat bun
  2. Roast beef, steamed spinach, tomato soup, orange juice
  3. Pork chop, mashed potatoes and gravy, cauliflower, tea
  4. Broiled fish, lettuce salad, grapefruit half, carrot sticks

Question 2

The nurse has completed a community education session on growth patterns of infants. Which statement by a participant indicates that additional teaching is needed?
 
  1. Newborns should regain their birth weight by 1 week of age.
  2. Breast reduction surgery can lead to not making enough milk for the baby.
  3. Most babies will stay at about the same percentile of growth as at birth.
  4. Babies fed on demand grow faster than babies fed on a schedule.

[covalentbond]

Answer to Question 1

2
Rationale:
1. This diet is high in calcium. The client has iron-deficiency anemia, and requires a high-iron diet.
2. This client is anemic, and needs iron. This meal contains iron in the beef, folic acid in the spinach, and vitamin C in the tomato soup and orange juice. Vitamin C helps absorption of the iron; folic acid is needed for production of red cells.
3. This meal has a moderate amount of protein, but no vitamin C. The meal containing beef is better.
4. This meal is high in fiber, low in fat, and moderately high in protein, but low in iron. This client is anemic, and needs iron.

Answer to Question 2

1
Rationale:
1. Newborns should regain their birth weight by 10 days to 2 weeks, not by 1 week of age.
2. Breast reduction surgical techniques vary, but most women who have had this procedure do not produce enough milk to support their infant's growth, and must supplement.
3. Providers expect babies to progress in growth within about 20 of the same growth percentile as they plotted at birth. Excessive growth can indicate development of obesity, and lack of growth can indicate malabsorption or other problems.
4. This statement is true.