Changes in the diet of the pregnant client who has ...

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Changes in the diet of the pregnant client who has phenylketonuria would include:
 
  a. adding foods high in vitamin C.
  b. eliminating drinks containing aspartame.
  c. restricting protein intake to <20 g a day.
  d. increasing caloric intake to at least 1800 cal/day.

Question 2

Identify the appropriate weight gain at 28 weeks' gestation for a client with a normal BMI (body mass index) before pregnancy.
 
  a. 10 pounds
  b. 19 pounds
  c. 25 pounds
  d. 30 pounds

[Liamb2179]

Answer to Question 1

ANS: B
Use of aspartame by women with phenylketonuria can result in fetal brain damage because these women lack the enzyme to metabolize aspartame. Adding vitamin C, restricting protein, and increasing caloric intake are not necessary for the pregnant client with phenylketonuria.

Answer to Question 2

ANS: B
The woman with a normal BMI before pregnancy will gain approximately 4.4 pounds during the first trimester and 1 pound per week during the second and third trimesters. At 28 weeks, normal weight gain would be 4 pounds during the first trimester and 15 pounds in the second trimester. Ten pounds at 29 weeks gestation is adequate weight gain. Twenty-five and 30 pounds at 28 weeks is excessive weight gain.

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