A nurse is providing dietary teaching to a client who is at 29 weeks of gestation and has phenylketonuria.Which of the following food suggestions should the nurse include?
Explanation & Rationale
Choice A rationalePeanut butter contains high phenylalanine levels, contraindicated in phenylketonuria. This amino acid accumulates in individuals lacking phenylalanine hydroxylase, causing neurotoxicity and developmental delay.Choice B rationaleApples are low in phenylalanine, making them a safe option for individuals with phenylketonuria. They provide essential nutrients without contributing to phenylalanine accumulation.Choice C rationaleSkim milk is rich in phenylalanine due to its high protein content. Consumption in phenylketonuria leads to amino acid buildup and potential neurological harm.Choice D rationaleEggs are protein-dense and therefore contain significant phenylalanine levels. This amino acid must be restricted in phenylketonuria to prevent its toxic effects on the brain. .