Author Question: The nurse is reviewing the changes in nutrition related to pregnancy with a 17-year-old who is 12 ... (Read 18 times)

Jipu 123 · **on:** Jun 28, 2018

The nurse is reviewing the changes in nutrition related to pregnancy with a 17-year-old who is 12 weeks pregnant. They are specifically focusing on the dairy requirements. What is the nurse's next action?

a. Ask, Do you like milk, yogurt and cheese?
b. Ask, How many servings from the dairy group do you eat each day?
c. Tell her, You need to add no less than 3 cups of dairy-based foods each day.
d. Inform her, If you do not like to drink milk, you can eat a spinach salad every day

Question 2

A patient at 8 weeks' gestation complains to the nurse, I feel sick almost every morning. And I throw up at least two or three times a week. What is the nurse's best advice to the patient?

a. Do you like cheese?
b. Try eating four meals a day instead of three meals a day.
c. Try eating peanut butter on whole wheat bread right before going to bed.
d. If you can eat enough throughout the day, you don't have to worry about being sick.

Mollythedog · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
To individualize the patient's teaching plan, the nurse must first assess the patient's calcium intake. Then the nurse can modify the instructions for adequate calcium intake, based on the patient's actual needs. Milk, yogurt, and cheese are calcium-rich foods but are inappropriate for the lactose-intolerant patient. The adolescent pregnant patient requires more daily calcium than the recommendation of 3 cups per day for the adult woman. Spinach is a source of calcium but it also contains oxalates, which decrease calcium availability.

Answer to Question 2

ANS: C
Eating a bedtime protein snack helps maintain glucose levels throughout the night. Cheese is high in fat and can aggravate nausea. Small and frequent meals is the recommendation; four meals a day is not frequent enough. Consumption is not the patient's stated concernit is the nausea and vomiting.