Question

The nurse has taken a health history on four primigravid clients at their first prenatal visits. It is high priority that which of the clients receives nutrition counseling?

1) The woman diagnosed with phenylketonuria.
2) The woman who has Graves' disease.
3) The woman with Cushing's syndrome.
4) The woman diagnosed with myasthenia gravis.

Answer 1

The pregnant woman with phenylketonuria must prioritize receiving nutrition counseling due to potential harms to the developing fetus from unmanaged phenylalanine levels.

Step-by-step explanation:

It is high priority that the woman diagnosed with phenylketonuria receives nutrition counseling.

Phenylketonuria (PKU) is a genetic condition where the individual cannot metabolize the amino acid phenylalanine.

During pregnancy, elevated levels of phenylalanine can be harmful to the developing fetus, leading to intellectual disability and other complications.

Therefore, it is critical for a pregnant woman with PKU to receive specialized nutritional guidance to manage phenylalanine intake and ensure a healthy pregnancy outcome.