When assessing a woman who has been unable to conceive, which factor would the nurse least likely identify as a potential risk in her history?

Choice A rationale
Giving an infant with a positive PKU test a high protein diet is not recommended. This is because phenylalanine, which cannot be broken down by individuals with PKU, is found in high-protein foods.
Choice B rationale
Parents of infants with a positive PKU test should provide the infant with a diet containing small amounts of phenylalanine. This is because while phenylalanine is harmful in large amounts to individuals with PKU, it is still an essential amino acid that the body needs in small amounts.
Choice C rationale
Early introduction of cow’s milk is not necessary before 1 year of age for infants with a positive PKU test. In fact, cow’s milk is high in phenylalanine and should be avoided.
Choice D rationale
Following up with a pediatric cardiologist is not specifically related to the dietary management of PKU. While regular medical supervision is important for children with PKU, it does not necessarily have to be with a cardiologist.

Choice A rationale
Hypothermia is not a typical response to phototherapy in an isolette. The heat from the phototherapy lights would typically prevent hypothermia.
Choice B rationale
Bradycardia, or a slow heart rate, is not a typical response to phototherapy in an isolette. If bradycardia occurs, it could be a sign of a serious condition that needs immediate medical attention.
Choice C rationale
Dehydration is a possible response to phototherapy in an isolette. The lights used in phototherapy can cause an infant to lose more water through their skin, leading to dehydration.
Choice D rationale
Decreased muscle tone is not a typical response to phototherapy in an isolette. If decreased muscle tone is observed, it could be a sign of a serious condition that needs immediate medical attention.