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 D

Explanation

A. A high-fiber meal: While fiber is beneficial for preventing constipation, which can occur with iron supplementation, fiber may decrease iron absorption.

B. Milk. Calcium in milk interferes with the absorption of iron and should be avoided when taking ferrous sulfate.

C. Scrambled eggs. Eggs contain phosphates and other compounds that may reduce iron absorption.

D. Orange juice. Vitamin C (found in orange juice) enhances the absorption of iron from supplements and is the best option for improving iron absorption.

A. Maternal hypertension B. Maternal battering C. Maternal cigarette smoking D. Maternal cocaine use

Correct Answer is A

Explanation

A. Maternal hypertension: Maternal hypertension is the most common risk factor for placental abruption. High blood pressure can cause stress on the blood vessels in the placenta, leading to premature detachment from the uterine wall.

B. Maternal battering: While trauma, such as maternal battering, can lead to placental abruption, it is not the most common risk factor. It is, however, a significant risk in cases of physical trauma.

C. Maternal cigarette smoking: Cigarette smoking can increase the risk of placental abruption but is not as significant as hypertension.

D. Maternal cocaine use: Cocaine use is a known risk factor for placental abruption, but maternal hypertension remains the most common and significant risk factor.

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 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?

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?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a client about how to reduce the risk of giving birth to a newborn who has a neural tube defect. Which of the following instructions should the nurse include in the teaching?

A nurse in a prenatal clinic is determining a client's estimated date of delivery using Naegele's rule. The first day of her last menstrual period was May 4. Which of the following dates should the nurse tell the client is her estimated date of delivery?

A nurse in a prenatal clinic is determining a client’s estimated date of delivery using Naegels rule. The first day of her last menstrual period was May 4. Which of the following dates should the nurse tell the client is her estimated date of delivery?

A nurse is assisting with the admission of a client who is at 10 weeks of gestation and reports abdominal pain and moderate vaginal bleeding. Incomplete abortion is the initial diagnosis. Which of the following actions should the nurse contribute to the client's plan of care?

A nurse is caring for a client who is pregnant and undergoing a nonstress test. The nurse records the FHR as 130 to 150/min, with no fetal movement for 15 min. Which of the following actions should the nurse take?

A nurse is caring for a client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation. Which of the following findings should the nurse expect?

A nurse is collecting data from a client who is at 18 weeks of gestation and tells the nurse that she felt light fluttering in her stomach the previous day. The nurse should use which of the following terms to document this finding?