a community health nurse is conducting a class on what to expect during pregnancy what instruction should the nurse include on weight gain

ATI RN

ATI Nutrition Practice Test B 2019

1. A community health nurse is conducting a class on what to expect during pregnancy. What instruction should the nurse include on weight gain?

A. Failure to obtain the required weight gain during pregnancy will increase the risk of preterm birth.
B. An obese client should not gain as much weight as a client with a normal body mass index.
C. A client with a normal body mass index should plan on gaining 50 pounds.
D. Clients do not need to eat for two when they are pregnant.

Correct answer: A

Rationale: Adequate weight gain during pregnancy is essential as failure to obtain the required weight gain can increase the risk of preterm birth. Choice B is incorrect because it is important for obese clients to gain an appropriate amount of weight during pregnancy, not the same as those with a normal body mass index. Choice C is incorrect as gaining 50 pounds for a client with a normal body mass index is excessive. Choice D is incorrect as the common saying 'eating for two' during pregnancy is a misconception; pregnant individuals do not need to double their caloric intake.

2. Water loss can occur from each, except one. Which is the exception?

A. Respiratory inflammation
B. Strenuous exercise
C. Diarrhea
D. Perspiration

Correct answer: D

Rationale: The correct answer is D, Perspiration. Water loss can occur through respiration inflammation, strenuous exercise, and diarrhea. Perspiration, also known as sweating, is a mechanism by which the body regulates temperature and eliminates some waste products, but it is not a cause of water loss. The body loses water through sweating, but this loss is mainly for cooling purposes, and it is not a primary mechanism for water loss like respiration, exercise, or diarrhea.

3. Which food has the highest calcium content?

A. 1 cup of carrot strips
B. 3 oz of canned salmon
C. 1 plain baked potato
D. 1 cup of chopped chicken breast

Correct answer: B

Rationale: The highest source of calcium among the given choices is the 3 oz of canned salmon. This is due to the presence of bones in canned salmon, which are rich in calcium. The other options, including 1 cup of carrot strips, 1 plain baked potato, and 1 cup of chopped chicken breast, do not contain as much calcium due to the nature of their composition and lack of bone content.

4. A nurse is caring for a client who is lactose intolerant. Which of the following clinical manifestations should the nurse assess?

A. Fever
B. Blood in stools
C. Cramping
D. Steatorrhea

Correct answer: C

Rationale: The correct answer is C: Cramping. Cramping is a common clinical manifestation of lactose intolerance due to the inability to digest lactose properly. Fever (choice A) is not typically associated with lactose intolerance. Blood in stools (choice B) is more indicative of other gastrointestinal issues like inflammatory bowel disease. Steatorrhea (choice D) is the presence of excess fat in the stool and is not a typical symptom of lactose intolerance.

5. A patient is being discharged with a vitamin K deficiency. What food should the nurse recommend to the patient to include in their diet?

A. Oranges
B. Spinach
C. Fish
D. Nuts

Correct answer: B

Rationale: Spinach is an excellent source of vitamin K, which plays a vital role in blood clotting and bone health. Oranges, fish, and nuts do not contain significant amounts of vitamin K, making them less suitable choices to address a vitamin K deficiency. Therefore, the correct recommendation for a patient with a vitamin K deficiency would be to include spinach in their diet to help replenish this essential vitamin.