Practice Quiz

CNM Certified Nurse Midwife

Category - Postpartum

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An 18-year-old client is pregnant for the first time. A few weeks before her due date, the client informs the nurse midwife that she has decided to breastfeed her baby after birth. As a part of the teaching plan, the nurse midwife informs the client that she need to needs to add some calories to her current RDA to ensure sufficient milk production. If the pre-pregnancy RDA of the client is 2,200 calories per day and her pregnancy RDA is 2,500 calories per day, the client’s RDA during the lactation period is:
  1. 2,800 calories per day.
  2. 3,000 calories per day.
  3. 2,200 calories per day.
  4. 2,700 calories per day.
Explanation
Answer: B - The client’s RDA during the lactation period is 3,000 calories per day. During pregnancy, about 300 calories are added to the RDA. If a client chooses to breastfeed her baby, an additional 500 calories are added to the pregnancy RDA. Additional calories are needed to ensure that sufficient amounts of breast milk are produced.
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