North American Registry of Midwives (NARM) Practice Exam

Which dietary choice can help manage gestational hypertension?

1. Increased caffeine intake

2. Eating more protein

3. Increased fluids and specific fruits and vegetables

4. High-sodium foods

The correct answer is: Increased fluids and specific fruits and vegetables

The choice of increased fluids and specific fruits and vegetables is beneficial for managing gestational hypertension due to their hydrating properties and rich nutrient content. Adequate fluid intake helps ensure proper blood volume and circulation, which can mitigate some of the complications associated with high blood pressure during pregnancy. Certain fruits and vegetables, particularly those high in potassium—such as bananas, oranges, and leafy greens—can help balance sodium levels in the body and promote healthy blood pressure regulation. Additionally, these foods contain vital vitamins, minerals, and antioxidants that support overall maternal and fetal health. In contrast to this, high-sodium foods can exacerbate hypertension by promoting fluid retention, while increased caffeine intake might elevate blood pressure and drinking insufficient fluids can lead to dehydration, which could worsen hypertension. Eating more protein, while important for overall health during pregnancy, does not specifically target the management of gestational hypertension in the same direct manner as proper hydration and nutrient-rich fruits and vegetables.