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 C
Explanation
A. While setting goals is important, simply stating this without providing practical strategies may not address the client's specific challenges with weight loss.
B. Eating small portions of high-calorie foods first may not be an effective weight loss strategy, as it does not address overall caloric intake or food choices.
C. Self-monitoring eating behaviors, such as keeping a food diary or tracking portion sizes, can help individuals become more aware of their eating habits and identify areas for improvement when trying to lose weight.
D. Tasting food while cooking may not necessarily curb appetite and could potentially lead to increased calorie consumption if the individual ends up eating more during meal preparation.
Correct Answer is B
Explanation
A. A low-carbohydrate diet may not provide the necessary energy and nutrients required for optimal wound healing. Carbohydrates are important for providing energy for cellular processes involved in tissue repair and regeneration.
B. A high-nutrient diet, rich in vitamins, minerals, proteins, and healthy fats, is essential for promoting wound healing. Adequate intake of nutrients such as vitamin C, vitamin A, zinc, and protein is particularly important for supporting collagen synthesis, immune function, and tissue repair.
C. A high-cholesterol diet is not specifically indicated for promoting wound healing and may be associated with other health risks such as cardiovascular disease.
D. While excessive sodium intake can contribute to fluid retention and edema, a low-sodium diet is not specifically indicated for promoting wound healing unless the client has conditions such as congestive heart failure or hypertension where sodium restriction is necessary to manage fluid balance.
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