is a maternal genetic disease in which high levels of phenylalanine pose a danger to the fetus (intellectual disability, behavioral problems)
It is important fo the client to resume the PKU diet for at least 3 months prior to pregnancy and continue the diet throughout pregnancy.
The diet includes foods that are low in phenylalanine. Foods high in protein (fish, poultry, meat, eggs, nuts, dairy products) must be avoided due to high phenylalanine levels.
Aspartame, which contains phenylalanine, should be avoided by pregnant women who have PKU.
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ANS: A, B, D
1. The
adolescent who smokes.
The adolescent who is diabetic.
The adolescent who is 10 pounds underweight.
Rationale: Important nutrition-related factors to assess in pregnant adolescents include low prepregnant weight, low weight gain during pregnancy, young age at menarche, smoking, excessive prepregnant weight, anemia, unhealthy lifestyle (drugs or alcohol use), chronic disease, and history of an eating disorder.
ANS: A
7. Sausage, eggs with cheese,
toast, and coffee.
Rationale: Animal products such as meat, fish, poultry, and eggs provide high-quality protein. Dairy products are also important protein sources. Various kinds of hard and soft cheeses and cottage cheese are excellent protein sources. The meal of sausage, eggs with cheese, toast, and coffee contains the highest amount of protein (at about 21 grams); this meal has three protein sources: meat, eggs, and cheese. The menu of toasted cheese sandwich, tomato soup, and iced tea
contains about 12-13 grams of protein; the meal of peanut butter sandwich, pea soup, and lemonade contains about 15 grams of protein; and the menu of fortified cereal, toast, and orange juice contains about 12-13 grams of protein, but none of these is the highest.
Answer: A, C, D, E
Explanation:
A) The sacroiliac, sacrococcygeal, and pubic joints of the pelvis relax in the later part of the pregnancy, presumably as a result of hormonal changes. This often causes a waddling gait.
B) Cervical changes during pregnancy include softening and blue-purple discoloration.
C) By the end of pregnancy, one sixth of the total maternal blood volume is contained within the vascular system of the
uterus.
D) Gastric emptying time and intestinal motility are delayed, leading to frequent complaints of bloating and constipation, which can be aggravated by the smooth muscle relaxation and increased electrolyte and water reabsorption in the large intestine.
E) The enlarging uterus may exert pressure on the vena cava when the woman lies supine, causing a drop in blood pressure. This is called the vena caval syndrome, or supine hypotension.
Answer: B
Explanation:
A) Pigmentation of the skin increases in areas already hyperpigmented: areolae, nipples, vulva, perianal area, and linea alba.
B) Striae, or stretch marks, are reddish, wavy, depressed streaks that may occur over the abdomen, breasts, and thighs as pregnancy progresses.
C) A greater percentage of hair follicles go into the dormant phase, resulting in less hair shedding, which is perceived as thickening of the hair.
D) Although bright-red elevations on the skin
(vascular spider nevi) are a normal finding, petechiae are not
Answer: C
Explanation:
A) Hearing the fetal heart rate is a positive, or diagnostic, change of pregnancy, so this statement would not indicate the need for further teaching.
B) A positive pregnancy test is a positive, or diagnostic, indication of pregnancy. This statement would not indicate the need for further teaching.
C) Amenorrhea is a subjective, or presumptive, change of
pregnancy, and is not a reliable indicator of pregnancy in the early months. This statement requires additional teaching.
D) Increased uterine size is an objective, or probable, change of pregnancy.
Answer: D
Explanation:
A) This is inappropriate for the nurse say.
B) This is an inappropriate comment for the nurse to make.
C) The partner's feelings are not indicative of psychological pathology.
D) Initially, expectant fathers may have
ambivalent feelings. The extent of ambivalence depends on many factors, including the father's relationship with his partner, his previous experience with pregnancy, his age, his economic stability, and whether the pregnancy was planned. The expectant father must first deal with the reality of the pregnancy and then struggle to gain recognition as a parent from his partner, family, friends, coworkers, society-and from his baby as well.