Which client would require additional calories and nutrients? ...

[nautica902]

Which client would require additional calories and nutrients?
 
  a. A 36-year-old female gravida 2, para 1, in her first trimester of pregnancy
  b. An 18-year-old female who delivered a 7-lb baby and is bottle feeding
  c. A 23-year-old female who had a cesarean section birth and is bottle feeding
  d. A 20-year-old female who had a vaginal birth 5 months ago and is breastfeeding

Question 2

When planning a diet for a pregnant client, which nutritional interventions should be implemented?
 
  a. Fluids should be restricted to 6 glasses a day to minimize fluid retention and occurrence of edema.
  b. Protein in the diet should be increased to meet growth and development needs.
  c. Nutrient density should be used only if there are problems with weight gain during the course of the pregnancy.
  d. Advise the client that the pattern of weight gain is not as important as the overall weight gained during the pregnancy.

[brittrenee]

Answer to Question 1

ANS: D
A client who is breastfeeding will require more calories and nutrients than individuals who are pregnant, delivered regardless of the type of birth, and whether they are bottle feeding.

Answer to Question 2

ANS: B
An increase in protein consumption is recommended as compared with prepregnancy diet recommendations. Fluid intake should be 8 to 10 glasses per day to maintain hydration. Nutrient density should be used throughout the pregnancy to meet increasing caloric needs. The pattern of weight gain is critical in helping identify potential risks associated with the development of fluid retention and preeclampsia.