NUTR 1322 Basic Nutrition Pregnancy Case Study Answers

NUTR 1322 Basic Nutrition Pregnancy Case Study Answers

NUTR 1322 Basic Nutrition Pregnancy Case Study Answers


  1. Why has the number of multifetal pregnancies in the United States increased since 1980? (click all that apply)
  a. teen pregnancies
  b. assisted reproductive technology – CORRECT
  c. preconception illicit drug use
  d. prevalence of obesity – CORRECT
  e. older childbearing – CORRECT


  1. Ashley and Jonathan are:
  a. monozygotic twins
  b. dizygotic twins – CORRECT
  c. undergoing twin-to-twin transfusion
  d. no way to determine until birth


  1. Brianna has gained 37 pounds at 24 weeks gestation. What is the most she should have gained by now (approximately)?
  a. 10 lbs
  b. 18 lbs – CORRECT
  c. 24 lbs
  d. 35 lbs


  1. What is the recommended daily calorie intake for a twin pregnancy?
  a. 1600-2000
  b. 1800-2200
  c. 2000-2400
  d. 2400-2800 – CORRECT


  1. Swelling in the legs and feet is expected and normal during a healthy twin pregnancy.




  1. Based on the recommendations for daily food intake for a twin pregnancy, click the food groups in which Brianna met the recommendation on at least 2 of the 3 days. Use standard serving sizes unless the serving size is given on the food record. (click all that apply)
  a. grains
  b. vegetables
  c. fruits
  d. fish, poultry, meat, beans – CORRECT
  e. milk


  1. Brianna had at least one good source of omega-3 fatty acids during the three days.




  1. Which of the following should Brianna NOT have consumed from the standpoint of safety for herself or the babies? (click all that apply)
  a. coffee
  b. salmon
  c. swordfish
  d. raw salad greens
  e. rare hamburger – CORRECT
  f. asparagus
  g. blue cheese dressing – CORRECT
  h. cottage cheese


  1. Brianna’s hemoglobin level indicated she has iron deficiency anemia.


 False – CORRECT


  1. What risk factors does Brianna have for developing preeclampsia during this pregnancy? (click all that apply)
  a. multifetal pregnancy – CORRECT
  b. gestational hypertension – CORRECT
  c. high prepregnancy BMI with central body fat – CORRECT
  d. first pregnancy – CORRECT
  e. African American ancestry – CORRECT
  f. poor vitamin D status – CORRECT
  g. pro-inflammatory, pro-oxidative stress diet- CORRECT


  1. Based on her 75-gram, 2 hour OGGT, Brianna should receive a diagnosis of gestational diabetes.


 False – CORRECT 


  1. Given Brianna’s high risk for developing preeclampsia, which of the following would you recommend as preventive measures? (click all that apply)
  a. increase fiber intake – CORRECT
  b. calcium supplements – CORRECT
  c. vitamin D supplements – CORRECT
  d. salt restriction
  e. increase intake of colorful fruits and vegetables to at least 5 a day – CORRECT
  f. try not to gain more weight in order to make up for excessive weight gain in early pregnancy – CORRECT
  g. cut down on sweet drinks


  1. Given Brianna’s high risk for developing preeclampsia, she should call the doctor’s office immediately if she develops which of the following symptoms? (click all that apply)
  a. increased swelling in her feet
  b. a severe headache that won’t go away – CORRECT
  c. severe heartburn
  d. blurred vision – CORRECT
  e. low urine output – CORRECT
  f. severe constipation
  g. abdominal pain and nausea – CORRECT


  1. If Brianna ignores the signs and symptoms of preeclampsia, she could die.



2 points   


  1. The difference between preeclampsia and eclampsia is that in eclampsia, the woman develops:
  a. unconsciousness
  b. seizures – CORRECT
  c. uterine bleeding
  d. high blood sugar


  1. The only cure for eclampsia is:
  a. injections with magnesium sulfate
  b. delivery of infant and placenta – CORRECT
  c. treatment with Dilantin
  d. a ketogenic formula


  1. Based on Brianna’s diet and information from your text and other reliable sources, it would be okay to recommend Brianna take supplements of DHA/EPA.



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