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 A
Explanation
A. Pork and its by-products, such as ham, are prohibited in strict halal dietary guidelines.
B. Lentils are permissible in halal dietary guidelines and can be included in the client's meal.
C. Fish is generally permissible in halal dietary guidelines, so baked fish with rice is an acceptable option.
D. Beef is permissible in halal dietary guidelines, but the gravy should be checked to ensure it does not contain any non-halal ingredients.
Correct Answer is A
Explanation
A. Eating a larger meal at breakfast and smaller meals throughout the day can help regulate appetite, reduce overall caloric intake, and promote weight loss.
B. Setting a weight loss goal of 2.5 pounds per week may be unrealistic or unsafe for some individuals. A more moderate and sustainable goal, such as 1-2 pounds per week, is typically recommended.
C. Meal replacement shakes can be a convenient option for some individuals as part of a weight loss plan, but they do not inherently cause weight gain. However, it's important to choose meal replacements with appropriate nutritional content and to use them as part of a balanced diet.
D. Drinking water with meals can help promote satiety and may prevent overeating, but it is not the only behavioral modification necessary for successful weight loss.
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