A nurse is providing anticipatory guidance to a client who has phenylketonuria (PKU) and is planning a pregnancy. Which of the following information should the nurse include in the discussion?
“A low-protein diet should be followed for 3 months prior to conception."
"Breastfeeding will prevent your baby from developing PKU."
"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."
The Correct Answer is A
A. For individuals with PKU who are planning a pregnancy, it is recommended to follow a low- protein diet prior to conception to minimize the risk of maternal phenylalanine levels causing harm to the developing fetus.
B. Breastfeeding does not prevent a baby from developing PKU. Babies born to mothers with PKU need special formula to avoid the harmful effects of high levels of phenylalanine in breast milk.
C. Monitoring serum bilirubin levels is not specific to PKU management during pregnancy.
D. Consumption of diet sodas is not directly related to PKU management during pregnancy.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
- Uneaten meals suggest that the client is not consuming the food provided, which can lead to inadequate intake of nutrients and calories, thus indicating possible malnutrition.
- A wound that won't heal can be a sign of malnutrition, as proper nutrition is essential for wound healing and maintenance of skin integrity.
- Rough and dry skin can be indicative of malnutrition, particularly if there is a deficiency in essential fatty acids and other nutrients that maintain skin health.
- Edema to the face and lower extremities can be a sign of protein-energy malnutrition, where the body does not get enough protein to maintain plasma oncotic pressure, leading to fluid accumulation in tissues.
Correct Answer is A
Explanation
A. Eating cold or room temperature foods can help reduce nausea and may be better tolerated by individuals undergoing chemotherapy.
B. Lying down after eating may worsen nausea, particularly in individuals undergoing chemotherapy. It is generally recommended to remain upright for at least 30 minutes after eating to aid digestion.
C. Carbohydrates are often easier to tolerate than fatty or greasy foods when experiencing nausea. Therefore, reducing carbohydrates in the diet may not be advisable for managing chemotherapy-induced nausea.
D. Eating before chemotherapy may exacerbate nausea, as chemotherapy can cause nausea and vomiting shortly after administration. It is generally recommended to eat light, bland foods and avoid heavy meals before chemotherapy.
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