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WorksheetsMaternal Health and Nutrition Assessment
Total questions: 20
Worksheet time: 12mins
A nurse teaches a woman planning pregnancy about folic acid. Which statement shows understanding?
“I’ll start taking folic acid when I find out I’m pregnant.”
“I’ll take 400 mcg of folic acid every day before I conceive.”
“I’ll stop folic acid after the first trimester.”
“Folic acid is only needed if I’m anemic.”
Which prenatal finding requires immediate follow-up?
Weight gain of 1 lb/week after 20 weeks
Fatigue and frequent urination
Complaint of constipation
Decreased fetal movement at 30 weeks
A pregnant woman with BMI 32 asks about weight gain. The nurse should recommend:
11–20 lb total gain
25–35 lb total gain
28–40 lb total gain
No weight gain
Which foods best meet increased protein and iron needs?
Chicken
Green lefty veggies
Whole milk cheeses
White bread
Lean beef
A nurse notes urinary frequency and mild back pain at 34 weeks. Which is the priority action?
Normal finding
Assess for UTI symptoms
Encourage Kegel exercises
Restrict fluids
Teaching to prevent constipation in pregnancy includes which instructions?
Increase fluid intake
High-fiber diet
Use laxatives daily
Exercise regularly
Restrict sodium
A woman reports anxiety and vivid dreams in her 1st trimester. The nurse interprets this as:
Psychologic maladaptation
Evidence of postpartum depression
Need for medication
Normal coping as she adjusts to pregnancy
Which maternal statement suggests ineffective coping?
“I walk 30 minutes daily to relax.”
“I pray when I feel worried.”
“I smoke to calm down since pregnancy is stressful.”
“My partner and I talk through our fears.”
Which nursing intervention best supports a pregnant adolescent with limited family support?
Encourage autonomy and prenatal class attendance
Focus on fetal health
Avoid discussing relationships
Emphasize abstinence
During preconception counseling, which goals reflect CDC recommendations?
Improve knowledge/behavior
Receive inter-conception interventions
Delay prenatal care until 2nd trimester
Avoid preconception counseling for low-risk women
Reduce disparities in outcomes
Which infection exposure requires immediate referral?
Cat itter cleaning
Common cold
Seasonal allergies
Mild sore throat
Which factors can reduce placental function?
Hypertension
Diabetes mellitus
Maternal exercise
Smoking
Radiation exposure
Which teaching point promotes safe medication use in pregnancy?
“Herbal supplements are safer than prescription drugs.”
“Consult your provider before any new medication.”
All antibiotics are safe after 20 weeks.”
“Pain medication is always contraindicated.”
Which nursing assessment best evaluates bonding during pregnancy?
Father avoids talking about baby
Mother avoids eye contact
Mother discussing baby names and nursery plans
Mother complains of back pain
What are benefits of breastfeeding for the mother?
Promotes uterine involution
Delays return of ovulation
Increases infection risk
Aids postpartum weight loss
Requires costly equipment
A lactating woman asks about diet. Which response is correct?
“Eat at least 1,800 kcal/day and drink plenty of fluids.”
“Reduce calories to increase milk concentration.”
“Avoid all dairy products.”
“Rapid weight loss increases milk supply.”
Which conditions contraindicate breastfeeding?
HIV infection
Maternal hepatitis C
Active tuberculosis
Mild cold
Mastitis under antibiotic therapy
A postpartum client consuming alcohol occasionally while nursing asks for advice. The nurse should respond:
“One drink a day improves milk let-down.”
“Alcohol reduces milk calories but is safe.”
“Drink coffee instead—it helps produce milk.”
“Alcohol enters breast milk; avoid drinking while breastfeeding.”
Which behavior aligns with Erikson’s generativity vs. stagnation stage?
Teen developing personal identity
New father coaching youth soccer
Older adult reviewing life achievements
Toddler exploring environment
According to Piaget, which behaviors show the pre-operational stage (ages 2–7)?
Egocentric thinking
Magical reasoning
Logical problem solving
Concrete cause-effect reasoning
Use of symbols and language
