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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Related Questions
Correct Answer is B
Explanation
A. Dentures should be stored in a container with water or a denture-cleaning solution to prevent drying and warping, not in a dry container.
B. Wrapping gloved fingers with gauze provides a better grip when removing dentures, reducing the risk of dropping them and ensuring a safe and hygienic removal process.
C. Flossing is not necessary for dentures, as they do not have natural tooth structures requiring interdental cleaning. Instead, dentures should be brushed with a soft-bristled brush.
D. A soft-bristled toothbrush, not a washcloth, should be used to clean dentures to effectively remove plaque and food debris.
Correct Answer is C
Explanation
- Rationale for A: One slice of bread typically does not equate to 1 oz of protein. Bread is primarily a source of carbohydrates and contains only a small amount of protein, making it insufficient to meet the protein equivalent of 1 oz.
- Rationale for B: Two tablespoons of peanut butter have approximately 8 grams of protein, which is close to the protein content of 1 oz of meat. However, it is slightly less than the standard 1 oz protein equivalent, which is about 7 grams of protein, as found in one egg.
- Rationale for C: One scrambled egg is equivalent to 1 oz of protein because it contains approximately 7 grams of protein, which aligns with the protein content of 1 oz of meat. Eggs are a complete protein source, providing all the essential amino acids needed by a toddler.
- Rationale for D: Half a cup of peas contains about 4 grams of protein, which is less than the 7 grams found in 1 oz of meat or one egg. Therefore, 1/2 cup of peas does not meet the equivalent of 1 oz of protein.
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