A nurse is providing anticipatory guidance to a client who has phenylketonuria (PKU) and is planning a pregnancy. Which of the following pieces of information should the nurse include in the discussion?
"Serum bilirubin should be monitored one to two times per month during pregnancy."
"Diet sodas should not be consumed more than two or three times per week."
"Breastfeeding will prevent your baby from developing PKU."
"A low-protein diet should be followed for 3 months prior to conception."
The Correct Answer is D
The correct answer is choice d. “A low-protein diet should be followed for 3 months prior to conception.”
Choice A rationale:
Monitoring serum bilirubin is not relevant for managing phenylketonuria (PKU) during pregnancy. PKU management focuses on maintaining low phenylalanine levels to prevent harm to the developing fetus.
Choice B rationale:
Diet sodas contain aspartame, which is high in phenylalanine and should be completely avoided by individuals with PKU, not just limited to two or three times per week.
Choice C rationale:
Breastfeeding does not prevent a baby from developing PKU. PKU is a genetic disorder, and breastfeeding does not influence the genetic makeup of the baby.
Choice D rationale:
Following a low-protein diet for 3 months prior to conception is crucial for women with PKU. This helps to ensure that phenylalanine levels are low, reducing the risk of birth defects and intellectual disabilities in the baby.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Gelatin is not a complete protein source. Gelatin is derived from animal collagen and lacks several essential amino acids, making it an incomplete protein. It is not suitable as a primary protein source in the diet.
Choice B rationale:
Cashews are not a complete protein source. While cashews contain protein, they do not provide all the essential amino acids in sufficient amounts to be considered a complete protein. Complementing them with other protein sources can help achieve a balanced amino acid profile.
Choice C rationale:
Black-eyed peas are not a complete protein source on their own. While they contain protein, they are lacking in certain essential amino acids. To create a complete protein, black-eyed peas should be combined with other complementary protein sources in the diet.
Choice D rationale:
Soy milk is a complete protein source. It contains all the essential amino acids in adequate amounts, making it comparable to animal-based proteins. Soy milk is a suitable option for individuals looking for plant-based protein alternatives or those with dietary restrictions.
Correct Answer is D
Explanation
Choice A rationale:
Alternating breasts during feedings is not primarily done for comfort, but rather to ensure that the baby receives both foremilk and hindmilk from each breast. Foremilk is more watery and quenches thirst, while hindmilk is richer in fats and nutrients. This choice does not accurately reflect the purpose of alternating breasts.
Choice B rationale:
Newborns often need to nurse more frequently than every 4 hours, especially during the early weeks when their stomach capacity is small. Feeding every 2 to 3 hours is generally recommended to ensure they receive enough nourishment and to stimulate milk supply.
Choice C rationale:
Supplementing feedings with water is unnecessary and can even be harmful to a breastfeeding baby. Breast milk provides all the necessary hydration for the baby, and introducing water before the recommended age can lead to decreased milk intake and potential electrolyte imbalances.
Choice D rationale:
(Correct Choice) This statement indicates an understanding of breastfeeding dynamics. The baby receives the majority of the milk's volume within the first 10 minutes of breastfeeding. However, it's important to note that nursing beyond the initial 10 minutes allows the baby to access the richer hindmilk, which is important for their growth and satiety.
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