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 B

Explanation

A. Incorrect. A nonstress test does not require medication or an IV; it is a non-invasive test that monitors fetal heart rate.

B. Correct. A nonstress test typically lasts about 20-30 minutes.

C. Incorrect. There are no dietary restrictions for a nonstress test; eating or drinking is not prohibited.

D. Incorrect. A nonstress test assesses fetal heart rate response to fetal movements and is not used to determine lung maturity.

A. Uterine tone B. Vaginal bleeding characteristics C. Pain rate D. Client weeks of gestation

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A,B"}}

Explanation

• Uterine tone
o Placenta previa: Not typically associated with abnormal uterine tone.
o Abruptio placenta: Associated with hard and rigid abdomen, uterine hypertonicity, and tenderness.
• Vaginal bleeding characteristics
o Placenta previa: Typically characterized by bright red, painless vaginal bleeding.
o Abruptio placenta: Often associated with dark red, painful vaginal bleeding.
• Pain rate
o Placenta previa: Usually presents with minimal or no pain.
o Abruptio placenta: Associated with sudden, severe abdominal pain and tenderness.
• Client weeks of gestation
o Placenta previa: Commonly diagnosed later in pregnancy, around 30 weeks or later.
o Abruptio placenta: Can occur at any point after 20 weeks of gestation, but often seen closer to term.

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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 providing teaching to a client who is at 34 weeks of gestation and is scheduled for a nonstress test. Which of the following statements should the nurse plan to make?

Correct Answer is B

Explanation

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A,B"}}

Explanation

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