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Which of the following is a characteristic of maternal nutrition and the development of abnormal metabolism?


A) Malnutrition during pregnancy leads to macrosomia and GI disturbances in the offspring
B) Insufficient nutrient intake during pregnancy promotes hypertrophy of the kidneys and hypotension in adulthood
C) Nutrition during pregnancy is the chief determinant of pancreatic beta cell growth and the risk for type 2 diabetes of the offspring
D) Malnutrition during pregnancy programs the fetus to modify the genetic composition of the placenta and thereby alter nutrient delivery through the umbilical cord

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

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The amount of vitamin D recommended in pregnancy can be obtained by consumption of fortified milk and


A) low-mercury fish.
B) exposure to the sun.
C) tropical fruit juices.
D) vitamin D supplements.

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

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The component of weight gain during pregnancy that is similar to the average weight of the infant at birth is the


A) placenta.
B) amniotic sac fluid.
C) maternal fat stores.
D) uterus and supporting muscles.

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

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Which of the following statements reflects current knowledge of food choices in pregnancy?


A) A craving for pickles is a strong indicator that the body needs salt
B) A craving for milk is a strong indicator that the body needs calcium and/or phosphorus
C) Careful and appropriate selection of foods can meet all nutrient needs for most women
D) Cravings and aversions to certain foods are probably the result of altered taste and smell sensitivities induced by hormones

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

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For the normal-weight woman who becomes pregnant, what is the ideal weekly weight gain from the start of the second trimester and onward?


A) 1 lb
B) 2 lbs
C) 3 lbs
D) 4 lbs

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

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During development of the fetus, what organ(s) is/are the first to develop?


A) Heart and lungs
B) Liver and kidneys
C) Gastrointestinal tract
D) Central nervous system and brain

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

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Which of the following nutrients taken as a prenatal supplement has been found to be associated with a lower incidence of neural tube defects?


A) Iron
B) Folate
C) Calcium
D) Cobalamin

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

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Which of the following is not a feature of children born with alcohol-related complications?


A) The children often go undiagnosed
B) The children often show growth retardation
C) Few of the children show problem behaviors
D) All children born with these complications show marked outward signs

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

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In what period of pregnancy would most damage from alcohol consumption occur?


A) Before conception
B) First trimester
C) Second trimester
D) Third trimester

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

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What is the minimum recommended weight gain for the obese pregnant woman?


A) 11 lbs
B) 18 lbs
C) 25 lbs
D) 35 lbs

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

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Which of the following describes the findings from studies of lactating women who exercised intensely compared with sedentary lactating women?


A) They had similar energy intakes
B) Their milk was more nutrient-dense
C) They had a slightly greater amount of body fat
D) Their milk contained more lactate, which altered the milk's taste

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

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In the United States, what is the minimum daily amount of protein that should be consumed by a 135-pound woman during pregnancy?


A) 49 g
B) 74 g
C) 108 g
D) 135 g

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

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Which of the following is a characteristic associated with adolescent pregnancy?


A) The recommended weight gain is approximately 35 lbs
B) The incidence of stillbirths and preterm births is 5-10% lower compared with adult women
C) The incidence of pregnancy-induced hypertension is 5-10% lower compared with older women
D) The time in labor is usually shorter than for older women because there are fewer overweight teenagers

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

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Which of the following describes an infant born during the 43rd week of pregnancy?


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

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

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Which of the following is a characteristic of body weight changes associated with pregnancy?


A) Weight gain is generally steady throughout pregnancy for normal-weight women
B) Most women are unable to lose all of the weight that was gained during pregnancy
C) Sudden, large weight gain in pregnancy may signal the development of hypotension
D) Overweight pregnant women should gain as much weight as underweight pregnant women

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

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All of the following are normal body responses to pregnancy except


A) breast size increases.
B) blood volume increases.
C) body water level decreases.
D) joint flexibility increases.

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

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What connects the umbilical cord to the fetus?


A) Uterus
B) Placenta
C) Caesareas
D) Belly button

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

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What is the most reliable indicator of an infant's future health status?


A) Infant's birthweight
B) Mother's weight before pregnancy
C) Mother's weight gain during pregnancy
D) Mother's nutrition status prior to pregnancy

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

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The process by which maternal nutrient intake affects the child's development of diseases later in life is known as


A) retrogenetics.
B) reverse genetics.
C) fetal programming.
D) postpartum degenerative expression.

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

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What is the recommended range of weight gain, in lbs, during pregnancy for a normal-weight woman?


A) 10-18
B) 19-24
C) 25-35
D) 38-44

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

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