A nurse is assessing a client who is in the second trimester of pregnancy and has a BMI within the expected reference range. Which of the following assessment findings indicates that the client will gain weight within the expected reference range?

Weight gain of 0.45 kg (1 lb) per week

Intake of 200 extra calories per day

Intake of 100 extra calories per day

Weight gain of 0.91 kg (2 lb) per week

Answer and Explanation

The Correct Answer is B

Choice A reason: Weight gain of 0.45 kg (1 lb) per week is not within the expected reference range for a client who is in the second trimester of pregnancy and has a normal BMI. The recommended weight gain for this client is 0.35 to 0.5 kg (0.8 to 1 lb) per week.

Choice B reason: Intake of 200 extra calories per day is within the expected reference range for a client who is in the second trimester of pregnancy and has a normal BMI. The recommended caloric intake for this client is 2200 to 2900 calories per day, which is about 340 to 450 calories more than the pre-pregnancy intake.

Choice C reason: Intake of 100 extra calories per day is not within the expected reference range for a client who is in the second trimester of pregnancy and has a normal BMI. The recommended caloric intake for this client is 2200 to 2900 calories per day, which is about 340 to 450 calories more than the pre-pregnancy intake.

Choice D reason: Weight gain of 0.91 kg (2 lb) per week is not within the expected reference range for a client who is in the second trimester of pregnancy and has a normal BMI. The recommended weight gain for this client is 0.35 to 0.5 kg (0.8 to 1 lb) per week.

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Correct Answer is B

Explanation

Choice A reason: Ground beef is high in saturated fat and cholesterol, which can increase the risk of gallstones. A client with cholecystitis should avoid fatty, greasy, or fried foods; meats; and cheeses.

Choice B reason: Graham crackers are low in fat and high in fiber, which can help prevent gallstones. A client with cholecystitis should eat more foods that are high in fiber, such as fruits, vegetables, beans, and whole grains.

Choice C reason: Blueberry muffins may contain butter, eggs, or milk, which are sources of saturated fat and cholesterol. A client with cholecystitis should eat fewer refined carbohydrates and less sugar.

Choice D reason: 2% milk is a dairy product that contains saturated fat and cholesterol. A client with cholecystitis should eat healthy fats, like fish oil and olive oil, to help the gallbladder contract and empty on a regular basis.

A. A low-protein diet should be followed for 3 months prior to conception. B. Serum bilirubin should be monitored one to two times per month during pregnancy. C. Diet sodas should not be consumed more than two or three times per week. D. Breastfeeding will prevent your baby from developing PKU.

Correct Answer is A

Explanation

Choice A reason: A low-protein diet is essential for clients who have PKU, as they cannot metabolize the amino acid phenylalanine. High levels of phenylalanine can cause intellectual disability and other neurological problems. A low-protein diet should be started before pregnancy and maintained throughout pregnancy to prevent fetal harm.

Choice B reason: Serum bilirubin is not related to PKU. It is a product of red blood cell breakdown and is elevated in conditions such as jaundice, liver disease, or hemolytic anemia. It does not need to be monitored routinely in clients who have PKU.

Choice C reason: Diet sodas are not recommended for clients who have PKU, as they often contain artificial sweeteners such as aspartame, which is a source of phenylalanine. Diet sodas should be avoided completely or consumed very sparingly by clients who have PKU.

Choice D reason: Breastfeeding will not prevent the baby from developing PKU, as PKU is a genetic disorder that is inherited from both parents. If both parents have PKU, the baby will have a 100% chance of having PKU. If one parent has PKU and the other is a carrier, the baby will have a 50% chance of having PKU. If one parent has PKU and the other is not a carrier, the baby will not have PKU but will be a carrier. Breastfeeding may provide some benefits for the baby, such as immunity and bonding, but it will not affect the baby's PKU status.

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A nurse is assessing a client who is in the second trimester of pregnancy and has a BMI within the expected reference range. Which of the following assessment findings indicates that the client will gain weight within the expected reference range?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching about dietary modifications to a client who has cholecystitis. The nurse should include which of the following foods as appropriate for the client's diet?

Correct Answer is B

Explanation

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?

Correct Answer is A

Explanation

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