Exam (elaborations)
NURS 3031 FINAL EXAM: WEEKS 7-11
NURS 3031 FINAL EXAM: WEEKS 7-11
NURS 3031 FINAL EXAM: WEEKS 7-11
folicyacidysupplementydoseyrecommendationyinypregnancyy-yCORRECTyANSWER--
400mcgy(0.4mg)ydailyyinyadditionytoyfolateyrichydiet
-pplyw/yfamyhxyorydiabetesymayybeyrecommendedyhigherydose
purposeyofyfolicyacidyduringypregnancyy-yCO...
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NURS 3031 FINAL EXAM: WEEKS 7-11
folicyacidysupplementydoseyrecommendationyinypregnancyy-yCORRECTyANSWER--
400mcgy(0.4mg)ydailyyinyadditionytoyfolateyrichydiet
-pplyw/yfamyhxyorydiabetesymayybeyrecommendedyhigherydose
purposeyofyfolicyacidyduringypregnancyy-yCORRECTyANSWER--
decreaseyriskyofyneuralytubeydefects
-neuralytubeystartsytoydevelopyaty3-4weeksygestation
sourcesyofyfolicyacidy-yCORRECTyANSWER--greenyleafyyvegetablesy
-bakedybeans
-citrusyfruits
-peanuts
-liver
-fortifiedycerealsyandyotherygrainyproducts
howymanyycaloriesyextrayshouldyaypregnantywomenybeyconsumingy-
yCORRECTyANSWER-400-
500ycaloriesyaydayyextray(especiallyyiny2ndyandy3rdytrimesters)
normalyBMIy-yCORRECTyANSWER-18.5-24.9
UnderweightyBMIy-yCORRECTyANSWER-<18.5
ObeseyBMIy-yCORRECTyANSWER-overy30
OverweightyBMIy-yCORRECTyANSWER-25-29.9
HowytoycalculateyBMIy-yCORRECTyANSWER-weighty(kg)y/yheighty(m^2)
howymuchyofyanyincreaseyisyrequiredyinyproteinyintakeyinypregnancyy-
yCORRECTyANSWER-+25grams
Duringypregnancyydoyindividualsyrequireyvitaminyandymineralysupplementsyorycanya
yproperydietysupplyytheyneededyvitaminsyandyminerals?y-yCORRECTyANSWER--
Withytheyexceptionyofyfolateyandyiron,ynutrientyneedsyofymostypregnantyclient'sycarey
beymetythroughydietaryysources
-Maternityyvitaminywithyironyandyfolicyacid
RDAyforyironyduringypregnancyy-yCORRECTyANSWER-27ymg/day
Ironysourcesy-yCORRECTyANSWER--liver
-redymeats
-wholeygrain/enrichedybreadsyandycereals
,-deepyleafyygreenyveggies
-legumes
-driedyfruits
-
patientsywhoyhaveyironydeficiencyyanemiayduringyearlyypregnancyyareyatyincreasedyr
iskyfory...
-ironydeficiencyyduringywhatysemesterydoesynotycarryytheysameyrisks???y-
yCORRECTyANSWER--pretermybirthyandylowybirthweightyinfants
-3rdytrimester
Foodsytoyavoidyduringypregnancyy-yCORRECTyANSWER--fishyhighyinymercury
-unpasteurizedymilkyoryproductsy(softycheese)
-foodsyw/yraw/uncookedyeggs
-hotydogs,ydeliymeats
Foodsytoylimityduringypregnancyy-yCORRECTyANSWER-
caffeineyandyartificialysweeteners
recommendationyforymanagementyofynauseayandyvomitingyduringypregnancyy-
yCORRECTyANSWER--smallysnacksyfrequentlyyandyavoidybigymeals
-breadyandycrackersyasysoonyasytheyywakeyup
-avoidyspicyyandygreasyyfoods
distributionyofyweightyfor:yfetus,yplacenta,yamnioticyfluidy-yCORRECTyANSWER-
11lby(5kg)
distributionyofyweightyfor:yuterusy-yCORRECTyANSWER-2lby(0.9kg)
distributionyofyweightyforyincreasedybloodyvolumey-yCORRECTyANSWER-4lby(1.8kg)
distributionyofyweightyforybreastytissuey-yCORRECTyANSWER-3lby(1.4kg)
distributionyofyweightyforymaternalystoresy-yCORRECTyANSWER-5-10lby(2.3-4.5kg)
Recommendedyweightygainyduringypregnancyy-yCORRECTyANSWER--
1stytrimester:y3-5lbs
-2nd-3rdytrimesters:yavg.y1lb/week
-byy26yweeksytheyyhaveygainedy16lbs
consequencesyofyhighybirthyweighty-yCORRECTyANSWER--
prolongedylabouryandybirth
-birthytrauma
-birthyasphyxia
-cesareanybirth
-increasedyriskyofyperinatalymortality
, nutritionyneedsyduringylactationyarey-yCORRECTyANSWER-
similarytoythoseyduringypregnancyyw/yincreasedycalorieyconsumption
recommendedythatyinfantsybey_____yforytheyfirsty6monthsyofylifeyandywhyy-
yCORRECTyANSWER--exclusivelyybreastfed
-humanybreastymilkyisyspeciesyspecific
mostycommonyreasonythatyclientsystopybreastfeedingy-yCORRECTyANSWER-
perceptionsythatytheyydon'tyhaveyenoughymilkyproductionybutymostyofytheytimeyther
eyalwaysyis
benefitsyofybreastfeedingyforymothery-yCORRECTyANSWER--financiallyyinexpensive
-bondingyandyconvenience
-oxytocinyisyreleasedytoyhelpycontractyuterus
-weightylossyfromyburningyextraycalories
benefitsyofybreastfeedingyforybabyy-yCORRECTyANSWER--easilyydigested
-
immunoglobulinyAyhelpsyw/yimmuneysystemy(lessylikelyytoygetyearyandyGIyinfections
)
-decreasedyriskyofySIDs,yfoodyallergy,yasthma
howyoftenydoybreastfedybabiesyfeedywhileycomparedytoyformulayfedy-
yCORRECTyANSWER--fedymoreyfrequently
-theyydigestytheyfoodyfaster
Lactogenesisyprocessy-yCORRECTyANSWER--
ductulesyenlargeyintoylactiferousyductsyandysinusesywhereymilkycollectsybehindytheyn
ipple
-eachynippleyhasyporesywhereymilkyisytransferredytoysucklingyinfant
afterybirth,yayprecipitateydecreaseyiny____yandy_____ylevelsytriggersyreleaseyof...y-
yCORRECTyANSWER--estrogenyandyprogesteroneylevels
-prolactinyfromyanteriorypituitaryygland
whatydoesyinfantysucklingyresultyiny-yCORRECTyANSWER--riseyinyprolactinylevels
-stimulatesyoxytociny("milkyejectionyreflex")
-contractsyuterusy(afterpains)
colostrumy-yCORRECTyANSWER--
beginsyinypregnancyyandycontinuesyforyfirstyfewydaysyafterybirth
-thickerythanymatureymilk,yyellowyappearance
-containsymoreyprotein,yfat-
solubleyvitamins,ymineralsyandyhighylevelsyofyimmunoglobulins