A nurse is providing teaching to a client who is pregnant and has phenylketonuria (PKU). Which of the following foods should the nurse instruct the client to eliminate from her diet?

Broccoli.

Apple juice.

Peanut butter.

Potatoes.

Answer and Explanation

The Correct Answer is C

Choice C rationale

Phenylketonuria (PKU) is a metabolic disorder that results in decreased metabolism of the amino acid phenylalanine. High levels of phenylalanine can lead to intellectual disability and other serious health problems. Foods high in protein, such as peanut butter, contain high levels of phenylalanine and should be avoided by individuals with PKU34.

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Correct Answer is A

Explanation

Choice A rationale

Feeling the baby move, also known as quickening, is a presumptive sign of pregnancy. Presumptive signs are those that suggest a woman could be pregnant, but they’re not definitive. Quickening is often described as a fluttering sensation and is usually felt between 16 and 25 weeks of gestation.

Choice B rationale

Positive signs of pregnancy are those that can only be explained by pregnancy. These include hearing the baby’s heartbeat, visualizing the fetus on ultrasound, and feeling the baby move by a healthcare provider.

Choice C rationale

Probable signs of pregnancy are those that are strongly suggestive of pregnancy but could be caused by other conditions. These include changes in the uterus, changes in the cervix, and positive pregnancy tests.

Choice D rationale

There is no classification of “possible” signs of pregnancy in medical terminology.

A. 2-0-2-2-0 B. 4-2-0-2-2 C. 4-0-1-2-2 D. 3-0-2-0-2

Correct Answer is C

Explanation

GTPAL calculation:

Step 1 is: Determine Gravida (G) = 4 pregnancies (1 elective abortion, 1 twin birth, 1 spontaneous abortion, 1 current pregnancy) = G4.

Step 2 is: Determine Term (T) births = 0 (no pregnancies reached 37 weeks).

Step 3 is: Determine Preterm (P) births = 1 (twin birth at 36 weeks) = P1.

Step 4 is: Determine Abortion (A) = 2 (1 elective abortion at 9 weeks, 1 spontaneous abortion at 15 weeks) = A2.

Step 5 is: Determine Living (L) children = 2 (twins) = L2.

The GTPAL status is: G4 T0 P1 A2 L2.

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A nurse is providing teaching to a client who is pregnant and has phenylketonuria (PKU). Which of the following foods should the nurse instruct the client to eliminate from her diet?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Correct Answer is C

Explanation

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