Bihar CHO -2019
Obstetrics & Gynaecology
Medium

Which of the following statements about pregnancy diet is not true?

Appeared in: Bihar CHO -2019

Explanation

  • This statement is false because the primary focus of a pregnancy diet should be on the quality and nutrient density of food, not just the quantity.
  • While caloric needs increase modestly (by about 340-452 kcal/day in the second and third trimesters), these calories must supply the significantly higher requirements for vitamins and minerals essential for fetal growth.
  • Focusing on quantity alone can lead to excessive weight gain and gestational diabetes, while still leaving the mother and fetus deficient in critical nutrients like iron, folate, and calcium.
  • A high-quality, nutrient-dense diet ensures proper development of the fetus's organs, bones, and nervous system.

Why Other Options Were Wrong

  • Option B: This is a true statement. Following cultural superstitions or unnecessarily restrictive diets can lead to dangerous nutritional deficiencies for both the mother and the developing fetus.
  • Option C: This is a true statement. Pregnancy significantly increases the physiological demand for key micronutrients to support fetal growth and expanded maternal blood volume.
  • Option D: This is a true statement. Fruits and vegetables are excellent sources of essential vitamins (like Vitamin C), minerals, and dietary fiber, which aids digestion and helps prevent constipation, a common complaint in pregnancy.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Nutritional principles and requirements during pregnancy as background academic context rather than a clinical decision trigger.
  • Nurses play a vital role in providing accurate nutritional counseling to antenatal mothers, dispelling myths, and tailoring advice to individual needs (e.g., for vegetarians, or those with gestational diabetes).
  • Poor maternal nutrition is linked to adverse outcomes such as low birth weight, intrauterine growth restriction (IUGR), pre-eclampsia, and developmental issues in the child.
  • Patient safety depends on educating mothers to avoid harmful substances (like alcohol and high-mercury fish) and unscientific food fads that could compromise fetal health.
How to Approach the Question
  • First, identify the negative framing of the question: you are looking for the statement that is 'not true' or false.
  • Read each option carefully and evaluate its factual accuracy based on your knowledge of pregnancy nutrition.
  • Option A suggests quantity over quality, which contradicts the fundamental principle of nutrient density in prenatal care.
  • Options B, C, and D represent standard, evidence-based advice for a healthy pregnancy.
  • Conclude that the false statement (Option A) is the correct answer to the question.
Concept Tested & Keywords
  • Concept Tested: Nutritional principles and requirements during pregnancy.
  • Stem keywords: pregnancy diet, not true
  • Lead-in keywords: not true
  • Negative lead-in flag: The question asks for the statement that is NOT TRUE.

Question ID

QT7h3buNg3fpU4wqtK4KS0

Reference Book

E6 Obstetrics Williams p. 80-94

E6 Biochemistry U Satyanarayana— Part 2 (pp 421-820 of 840) p. 139-141

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