Mrs. K is a 35-year-old client who is pregnant with her first ...

[lracut11]

Mrs. K is a 35-year-old client who is pregnant with her first child. She works as a consultant, and part of her job involves taking clients to dinner to discuss marketing options for their products.
 
  The company she works for expects her to order wine with dinner for herself and her guests. Recently she noticed that if she does not drink the wine her guests seem to feel hesitant to drink theirs as well, making the gesture awkward and wasteful. During her clinic visit she asks the nurse what the rule is for drinking during pregnancy. The best response for the nurse would be: 1. One or two glasses of wine with dinner should not be harmful, but avoid liquor and beer..
   2. If having wine with dinner is an expectation for your job you should do it..
   3. To keep your baby as safe as possible, alcohol should be avoided during pregnancy..
   4. Consider ordering beer instead because it contains more nutrients..

Question 2

A client grew up on a farm and learned to prepare foods using butter and lard produced by the farm animals. She is now in her 60s and has just learned that she has coronary artery disease.
 
  To best meet her physical as well as psychologic needs, the health practitioner should a. suggest that she adopt a low-fat vegetarian dietary pattern.
  b. ask how she usually prepares foods and suggest ways to reduce the use of animal fat.
  c. advise her to eat more fruits and vegeta-bles and to replace some of the animal fat with palm and coconut oil.
  d. advise her to avoid adding fat to foods and eat only very lean poultry and fish.

[soda0602]

Answer to Question 1

3
Rationale: Current recommendations advise women and small men to limit alcohol intake to one drink per day. Children, pregnant and lactating females, individuals with medical conditions or who are taking medications that interact with alcohol should avoid alcohol completely. Adverse events related to excess alcohol in plasma crossing the blood brain barrier is more common in women because of lower body water levels than men. Alcohol ingested by pregnant females acts as a direct toxin on the developing fetal brain and can lead to permanent damage.

Answer to Question 2

B
The health practitioner should start with the ways she usually prepares food and suggest ways she can use less animal fat and more heart-healthy unsaturated fats without making dramatic or arbitrary changes. A low-fat vegetarian dietary pattern is not necessary and is unlikely to be ac-ceptable to the client. Eating more fruits and vegetables may be beneficial, but palm and coconut oil are high in saturated fat, which would not be helpful. It is probably not necessary for her to avoid adding any fat to foods and to eat only very lean poultry and fish; such drastic changes are unlikely to be maintained by the client.

[lracut11]

Both answers were spot on, thank you once again

[soda0602]

Great! Please up vote