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Why might a lactating woman need to take an iron supplement?


A) To improve the flavor of breast milk
B) To increase iron content of breast milk
C) To replace the iron stores she lost during pregnancy
D) To account for the re-start of menstruation that usually occurs 1-2 months postpartum

E) All of the above
F) C) and D)

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Gestation is generally divided into equal periods of


A) 4 weeks, called quarters.
B) 9 weeks, called quartiles.
C) 4 months, called semesters.
D) 3 months, called trimesters.

E) None of the above
F) C) and D)

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Which of the following recommendations for pregnant women and alcohol intake has been issued by the U.S.Surgeon General?


A) They should drink absolutely no alcohol
B) They should refrain from drinking hard liquor only
C) They are permitted to ingest no more than 2 drinks per day
D) They are permitted to ingest small amounts of alcohol during the first 3 months but none thereafter

E) A) and B)
F) A) and C)

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Which of the following describes an infant born during the 36th week of pregnancy?


A) Term
B) Preterm
C) Post term
D) Caesarean

E) A) and B)
F) A) and C)

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Which of the following is a characteristic of maternal smoking and breast milk production?


A) The milk produced by mothers who smoke contains nicotine
B) Cigarette smoking reduces the quality but not the quantity of breast milk
C) Infants of breastfeeding mothers who smoke gain excessive weight consisting mainly of abdominal adipose tissue
D) The smell and flavors of breast milk from mothers who smoke do not alter volume consumed until the infant reaches 3 months of age

E) A) and D)
F) A) and C)

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Which of the following is a feature of heavy metal intake and pregnancy?


A) Mercury, but not lead, can easily cross the placenta
B) The adverse effects of lead can be reduced by liberal intakes of calcium
C) Pregnant women are advised to limit consumption of shark and swordfish to no more than once per week
D) Pregnant women are advised to avoid shellfish around the critical period of brain development but may resume normal intake thereafter

E) All of the above
F) C) and D)

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Which of the following reflects one of the effects of alcohol intake on lactation?


A) It does not pass into the breast milk
B) It hinders the infant's ability to breastfeed
C) It mildly stimulates breast milk production
D) It passes into the breast milk but is degraded by enzymes in breast tissue

E) B) and C)
F) C) and D)

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All of the following are features of zinc nutrition in pregnancy except


A) typical intakes are lower than the recommended amount.
B) supplements are effective in preventing neural tube defects.
C) a secondary deficiency may develop when iron supplements are taken.
D) the mineral is needed for nucleic acid synthesis and thus cell development.

E) None of the above
F) All of the above

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Penny is a new mom and, on the advice of her doctor, has been eating an extra whole-wheat bagel with strawberry jelly every night in addition to her nutrient-dense diet.Why did Penny receive this advice?


A) Bagels are a way of getting more kcalories in the diet
B) Bagels provide the extra protein lactating mothers need for lactose production
C) Babies prefer the strawberry jelly in the mother's diet as it alters the taste of the breast milk
D) These bagels provide the extra carbohydrates and fiber lactating mothers need for lactose production

E) A) and B)
F) None of the above

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Which of the following is not a feature of malnutrition in pregnancy?


A) It increases the risk for delivery of a low-birth-weight infant
B) Around the time of conception, it increases the risk for birth defects
C) It increases the risk for adverse effects on the child and, if the child is a female, on her children
D) Around the time of conception, it prevents the uterus from developing fully but spares the placenta

E) None of the above
F) A) and D)

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What causes the "let-down reflex"?


A) Oxytocin
B) Estrongen
C) Prepartum amenorrhea
D) Postpartum amenorrhea

E) A) and B)
F) A) and C)

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What is the recommended increase in daily energy intake, in kcal, for the third trimester of pregnancy?


A) 200
B) 300
C) 450
D) 540

E) B) and C)
F) A) and D)

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What organ of the pregnant woman is central to the exchange of nutrients for waste products with the fetus?


A) Uterus
B) Vagina
C) Placenta
D) Amniotic sac

E) None of the above
F) C) and D)

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What is the most likely reason for a pregnant woman to crave pickles?


A) A change in hormones
B) A hypoglycemic episode
C) A physiologic need for fluid
D) A physiologic need for sodium

E) None of the above
F) B) and D)

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Which of the following may be effective at reducing the risk for preeclampsia?


A) Bed rest
B) Exercise
C) Low-protein diets
D) Vitamin B12 supplementation

E) B) and D)
F) B) and C)

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An infant born with incomplete closure of the spinal cord has


A) spina bifida.
B) macrosomia.
C) anencephaly.
D) neural tube seizure.

E) A) and B)
F) A) and C)

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In pregnancy, a large weight gain over a short time period is evidence of


A) edema.
B) poor glycemic control.
C) insufficient physical activity.
D) development of neural tube defects.

E) A) and C)
F) C) and D)

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What is the approximate length of the fetus at 11 weeks of development?


A) 1 inch
B) 6 inches
C) 1 foot
D) 1.5 feet

E) A) and D)
F) A) and C)

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In pregnancy, a large weight gain over a short time is usually an indication of


A) excessive fat deposition.
B) excessive fluid retention.
C) abnormal fetal development.
D) normal pregnancy only if it occurs during the second trimester.

E) All of the above
F) B) and C)

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Which of the following statements describes a relationship between alcohol intake and fetal development?


A) Birth defects are most severe when the woman drinks around the time of conception
B) Infants born with fetal alcohol syndrome typically show immediate signs of brain impairment
C) Eating well and maintaining adequate nutrient stores will prevent alcohol-induced placenta damage
D) Toxicity to the fetus begins to occur when fetal blood alcohol levels rise above maternal blood alcohol levels

E) All of the above
F) A) and C)

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