A nurse is providing dietary teaching for a client who is at 29 weeks of gestation and has phenylketonuria. Which of the following suggested foods should the nurse include in the teaching?

Correct Answer: B

Rationale: Phenylketonuria (PKU) is a genetic disorder where the body cannot metabolize phenylalanine, an amino acid found in protein-containing foods. Patients with PKU need to follow a strict low-phenylalanine diet to prevent the buildup of phenylalanine in the body. Fruits like apples and grapes are low in protein and contain minimal phenylalanine, making them suitable choices for individuals with PKU. The other options listed contain higher amounts of protein and phenylalanine, such as peanut butter, chocolate chip cookies, milk, scrambled eggs, and cheese, which should be avoided by individuals with PKU.

Correct Answer: C

Rationale: The seminal vesicles are responsible for secreting fluid into the semen during ejaculation. This fluid helps nourish and protect the sperm as they travel through the female reproductive system. The prostate gland, on the other hand, is responsible for producing components of semen that help with sperm motility and viability. The seminal vesicles play a crucial role in the male reproductive system by contributing to the overall composition of semen.

Correct Answer: C

Rationale: The newborn infant whose umbilical cord fell off on day 8 of life is at highest risk of a skin infection. This is because the umbilical cord stump is an area prone to bacterial colonization and can lead to infection if proper care is not maintained during the cord care period. Once the umbilical cord falls off, the skin in that area is exposed and vulnerable to infection. It is important to educate parents on proper cord care techniques to prevent infection in this high-risk period.

Correct Answer: D

Rationale: Scheduled cesarean delivery serves as a maternal risk factor juice to having a baby who may suffer from birth trauma. Cesarean deliveries, especially scheduled ones without a medical indication, can increase the risk of birth trauma for the baby compared to a vaginal delivery. Birth trauma in infants can include injuries like bruises, fractures, and head trauma due to various factors during the delivery process. It is important to weigh the risks and benefits of delivery methods in consultation with healthcare providers to minimize the chances of birth trauma.

Correct Answer: A

Rationale: The correct answer is A) the fear-tension-pain theory. This theory, which underpins HypnoBirthing, suggests that fear and tension during labor can lead to increased pain perception. By addressing and reducing fear and tension through techniques such as self-hypnosis, relaxation, and breathing exercises, women can experience a more comfortable and potentially less painful birthing process. Option B) the theory that pain is productive in labor is incorrect. While pain in labor can serve a purpose by signaling progression, it is not the central tenet of HypnoBirthing. Option C) the idea that self-hypnosis always works if you try hard enough is incorrect because the efficacy of self-hypnosis techniques can vary among individuals and may not always guarantee pain relief during labor. Option D) the theory that when hypnotized during labor, the environment does not matter because the person is not aware of the surroundings is incorrect. In reality, the environment and support during labor play crucial roles in a woman's birthing experience, even if she is utilizing self-hypnosis techniques. In an educational context, understanding the theoretical foundations of pain management techniques such as HypnoBirthing is essential for healthcare providers working with pregnant individuals. By recognizing the impact of fear and tension on the birthing process, providers can offer holistic care that addresses not only physical but also emotional and psychological aspects of labor and delivery.