Question :
Answer questions 40-44 based the following information.
Mickie a 37-year-old Hispanic : 1350885
Answer questions 40-44 based on the following information.
Mickie is a 37-year-old Hispanic female in her second pregnancy. Her first pregnancy resulted in a healthy baby girl that weighed 9 pounds 3 oz. Her prepregnancy information is as follows: BMI = 28; she is 5’4” tall; and was 165 pounds. She did not manage to take off all the weight she gained before getting pregnant again, and so far at 24 weeks, she has gained 20 pounds and currently weighs 185 pounds. Diet history reveals an average Calorie intake of 2300 Calories per day. Two hours after her 75-g glucose tolerance test began, her blood glucose was 155 mg/dL.
40.Mickie’s BMI indicates that she was:
a.underweight going into pregnancy.
b.at a normal weight going into pregnancy.
c.overweight going into pregnancy.
d.obese going into pregnancy.
e.morbidly obese going into pregnancy.
41.How is Mickie doing with her weight gain so far?
a.Great: she is right on track midpregnancy
b.Fair: she has gained 5 pounds too much at this point
c.Poor: she is gaining too much weight too quickly
d.Horrible: she needs to start cutting back by at least 1000 calories per day
42.Mickie’s OGTT results mean:
a.she is okay and does not have to be tested for gestational diabetes.
b.she has gestational diabetes.
c.she has borderline diabetes.
d.she has type 2 diabetes.
e.she has preeclampsia.
43.How many Calories would be a more appropriate goal for Mickie to consume, based on her prepregnancy weight status and OGTT results?
a.1200 Calories per day
b.1400 Calories per day
c.1600 Calories per day
d.1800 Calories per day
e.2000 Calories per day
44.What would be the next step for Mickie?
a.Nothing; she can go home and continue to have routine doctor visits
b.Attempt to normalize blood glucose levels by following a healthy diet and exercising
c.Perform a 50-gram glucose tolerance test while fasting
d.Begin a calorie-controlled diet and return to her doctor in 2 weeks to recheck weight
e.Both c and d
45.Which of the following statements is TRUE regarding the spectrum of fetal alcohol disorders?
a.For fetal alcohol syndrome to be diagnosed, a specific set of characteristics must be exhibited in the child.
b.Typical maternal characteristics associated with fetal alcohol syndrome or fetal alcohol spectrum disorders are older age and multiple pregnancies.
c.There is no known absolute safe level of alcohol consumption during pregnancy, so women should be counseled that the safest approach is to not drink during pregnancy.
d.With intense early intervention after birth, the behavioral and cognitive abnormalities associated with fetal alcohol spectrum disorders can be completely reversed.
e.a and c only
46.Psychologically, women with eating disorders typically have a hard time when they gain weight in pregnancy due to the fact that they:
a.base their self worth on how much they weigh.
b.are dedicated to keeping their body weight low.
c.are unable to gain weight normally because their metabolism is so low.
d.All of the above are true.
e.a and b only
47.Which of the following foods would be the best, most nutrient-dense choice for a pregnant adolescent?
a.Cheez-Its and peanut butter
b.Baked potato with low-fat yogurt
c.Grilled cheese sandwich with mayonnaise and orange juice
d.Big Mac and 2% milk
e.All of the above would be good choices
48.Which food would be the most nutrient-dense source of calcium for a pregnant adolescent?
a.Whole milk
b.Low-fat milk (1%)
c.Reduced-fat milk (2%)
d.Skim or non-fat milk
e.None of the above
