Practice Quiz

Certified Midwife Exam Prep

Category - Midwifery

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The midwife is conducting a one-on-one teaching session with Courtney, who is five weeks pregnant. The session focuses on the recommended nutritional guidelines during pregnancy and breastfeeding period. Courtney, a 25-year-old female nullipara, has a BMI of 21. She would like to breastfeed her child after birth. Which of the following nutritional guidelines is NOT appropriately provided by the midwife?

  1. Increased intake of foods high in folic acid
  2. An increase of 300 calories per day during pregnancy
  3. Maintain intake of at least 8 to 10 glasses of fluid per day
  4. Calorie intake per day is gradually decreased until the recommended daily calorie intake is reached after birth
  5. All of the above
Explanation
Answer: D - Calorie intake per day is increased during lactation. The client should be informed that her calorie intake per day should be increased by 500 calories when breastfeeding. Folic acid prevents neural tube defects. The client’s BMI is within the normal range, so the calorie intake per day should be increased by the standard 300 calories during the pregnancy. Fluid intake is maintained between 8 and 10 glasses of fluid per day to prevent dehydration and constipation.
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