A nurse is assisting in the plan of care for a client who is pregnant and has phenylketonuria (PKU). Which of the following actions should the nurse include in the plan of care?

Prepare the client for a cesarean birth

Monitor blood glucose levels daily

Reinforce teaching about a protein-free diet.

Administer thyroid hormone replacement.

Answer and Explanation

The Correct Answer is C

A. Prepare the client for a caesarean birth. Caesarean birth is not routinely required for clients with PKU unless there are obstetric indications. Vaginal delivery is usually possible.

B. Monitor blood glucose levels daily. PKU involves the inability to metabolize phenylalanine, not glucose. Monitoring glucose is important in clients with diabetes, not PKU.

C. Reinforce teaching about a protein-free diet. Phenylketonuria (PKU) is a metabolic disorder where the body cannot break down the amino acid phenylalanine. During pregnancy, it is crucial to maintain low phenylalanine levels to prevent harm to the developing fetus. Therefore, a diet low in phenylalanine (not protein-free, but low in phenylalanine) is essential.

D. Administer thyroid hormone replacement. Thyroid hormone replacement is not related to PKU management. It is used for clients with thyroid conditions such as hypothyroidism.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. Fetal heart rate: Fetal heart rate is typically monitored via external or internal fetal monitoring, not by amniocentesis.

B. Maturity of fetal lungs: In preterm labor, amniocentesis is performed to assess fetal lung maturity by analyzing the levels of surfactant (lecithin and sphingomyelin). This helps determine if the fetus is ready for delivery.

C. Gender of the fetus: Although amniocentesis can determine fetal gender, this is not the reason for performing the procedure in a case of preterm labor. Lung maturity is the priority.

D. Weeks of gestation: Gestational age is typically determined by ultrasound or the date of the last menstrual period. Amniocentesis is not used to assess gestational age but can provide information on fetal lung maturity, which is crucial in preterm labor situations.

A. G1. TO. PO. AO L B. G2, TO, P1. AD. L C. G3, TO, PO, AO, LO D. G2, T1, PO, AO, L1

Correct Answer is D

Explanation

A. G1, T0, P0, A0, L1: Maria is in her second pregnancy, not her first, so the G (Gravida) should be 2.

B. G2, T0, P1, A0, L1: Maria delivered her child at term (39 weeks), not preterm, so "P" (preterm births) should be 0, and "T" (term births) should be 1.

C. G3, T0, P0, A0, L0: Maria is only in her second pregnancy, so "G" should be 2, and she has one living child, so "L" should be 1.

D. G2, T1, P0, A0, L1. "G" (Gravida) is 2 because she is pregnant for the second time. "T" (Term) is 1 because she had one term pregnancy that resulted in the birth of her daughter. "P" (Preterm) is 0 because she has no preterm births. "A" (Abortions) is 0 because she has had no miscarriages or abortions. "L" (Living children) is 1 because she has one living child.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assisting in the plan of care for a client who is pregnant and has phenylketonuria (PKU). Which of the following actions should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who is experiencing preterm labor and is scheduled to undergo amniocentesis. The client needs an amniocentesis to determine which of the following findings?

Correct Answer is B

Explanation

Maria is pregnant for the second time. She has a 5-year-old daughter who was born at 39 weeks gestation. What is her GTPAL?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse recognizes that which of the following is the most common risk factor for a placental abruption?

A nurse is reinforcing teaching with a client who is at 30 weeks of gestation and scheduled for a nonstress test (NST). Which of the following statements by the client indicates a need for further teaching?

A nurse is caring for a client who is at 36 weeks of gestation and has suspected placenta previa. For which of the following findings should the nurse monitor the client?

A nurse is reinforcing teaching with a newly licensed nurse about the purpose of an indirect Coombs test. Which of the following statements should the nurse include in the teaching?

A nurse is reinforcing teaching with a client who is pregnant and has a new prescription for ferrous sulfate due to iron-deficiency anemia. The nurse should instruct the client to take this medication with which of the following?

A nurse is reinforcing teaching with a client about checking her basal temperature to identify when ovulation occurs. The nurse should instruct the client to check her temperature at which of the following times?

A nurse is caring for a client who is at 34 weeks of gestation and has a suspected placenta previa. Which of the following actions should the nurse take?