A nurse providing dietary teaching to a client who is at 29 weeks of gestation and has phenylketonuria. Which of the following food suggestions should the nurse include in the teaching?

Peanut butter sandwich

Sliced apples

Glass of skim milk

Scrambled egg

Answer and Explanation

The Correct Answer is B

A. Peanut butter sandwich: Incorrect. Peanut butter contains phenylalanine, an amino acid that people with phenylketonuria (PKU) must limit in their diet. Foods high in phenylalanine should be avoided to prevent complications.

B. Sliced apples: Correct. Sliced apples are low in phenylalanine and safe for individuals with PKU. Fruits are generally recommended for PKU patients as they provide essential nutrients without significant amounts of phenylalanine.

C. Glass of skim milk: Incorrect. Milk, including skim milk, contains phenylalanine, which should be limited or avoided by individuals with PKU. They need to consume specially formulated low-phenylalanine products.

D. Scrambled egg: Incorrect. Eggs are high in phenylalanine and should be avoided by individuals with PKU. They need to choose low-protein alternatives that do not contribute to their phenylalanine levels.

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Correct Answer is A

Explanation

A. Heart disease: Correct. Terbutaline, a tocolytic, is contraindicated in clients with heart disease due to its potential to cause tachycardia and other cardiovascular effects.

B. Cervical dilation of 2 cm: Incorrect. Cervical dilation of 2 cm is not a contraindication for terbutaline. It is relevant for evaluating the progression of labor but not for the use of this medication.

C. Gestational age of 34 weeks: Incorrect. Terbutaline can be used to manage preterm labor before 34 weeks, so this gestational age does not contraindicate its use.

D. Allergy to penicillin: Incorrect. Terbutaline is not related to penicillin, so an allergy to penicillin is not a contraindication for using terbutaline.

A. Nulliparity B. History of breastfeeding C. Previous use of oral contraceptives D. History of breast cancer E. Use of postmenopausal estrogen

Correct Answer is ["A","D","E"]

Explanation

A. Nulliparity: Correct. Nulliparity, or never having been pregnant, is a known risk factor for ovarian cancer. Women who have never given birth have a higher risk of developing ovarian cancer compared to those who have had one or more children.

B. History of breastfeeding: Incorrect. Breastfeeding is generally associated with a decreased risk of ovarian cancer. It is thought to reduce the number of lifetime ovulatory cycles, thereby potentially lowering the risk.

C. Previous use of oral contraceptives: Incorrect. The use of oral contraceptives is associated with a reduced risk of ovarian cancer. Long-term use can significantly decrease the risk, and the protective effect may continue for years after discontinuation.

D. History of breast cancer: Correct. A history of breast cancer is a risk factor for ovarian cancer, particularly in women with BRCA1 or BRCA2 gene mutations. These mutations increase the risk of both breast and ovarian cancers.

E.Use of postmenopausal estrogen: Correct. The use of postmenopausal estrogen, especially when used without progesterone, is associated with an increased risk of ovarian cancer. Estrogen therapy can stimulate the growth of ovarian tumors in susceptible women.

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A nurse providing dietary teaching to a client who is at 29 weeks of gestation and has phenylketonuria. Which of the following food suggestions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing preterm labor and has a new prescription for terbutaline. Which of the following findings is a contraindication for administration of this medication?

Correct Answer is A

Explanation

A nurse is providing teaching to a group of clients about risk factors for ovarian cancer. Which of the following risk factors should the nurse include? (Select all that apply)

Correct Answer is ["A","D","E"]

Explanation

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