Author Question: Which client has correctly increased her caloric intake from her recommended pregnancy intake to the ... (Read 167 times)

KWilfred · **on:** Jun 28, 2018

Which client has correctly increased her caloric intake from her recommended pregnancy intake to the amount necessary to sustain breastfeeding in the first 6 postpartum months?

a. From 1800 to 2200 calories per day
b. From 2000 to 2500 calories per day
c. From 2200 to 2530 calories per day
d. From 2500 to 2730 calories per day

Question 2

A pregnant client comes to the OB clinic and informs you that she is very concerned about the amount of weight gain associated with pregnancy. She then tells you that she wants to switch to a low-fat diet during pregnancy.

BMI measurements indicate a BMI of 22.7. What would be the best nursing response to this client's stated plan?

a. Tell the client that as long as she maintains a varied diet with regard to the other nutrients, there should be no problems.
b. Refer the client to a dietician for assistance in planning the low-fat diet.
c. Advise the client that it is important to maintain the intake of essential fatty acids during pregnancy.
d. Schedule the client for more frequent visits during the next few months to evaluate her weight pattern.

emily12345 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
The increased calories necessary for breastfeeding are 500, with 330 calories coming from increased caloric intake and 170 calories from maternal stores. An increase of 230 calories is insufficient for breastfeeding. An increase of 400 and 500 calories is above the recommended amount.

Answer to Question 2

ANS: C
It is important to teach the client that essential fatty acids are needed in the diet to assist fetal development (visual and cognitive). Dieting during pregnancy is not advised. Clients should maintain a regular diet that has a varied intake of nutrient sources. There is no need for referral at this time because dieting is not recommended during pregnancy. The client's BMI indicates that she is within the normal weight range. There is no need to add additional appointments at this time.