The nurse prepares to assess a group of clients arriving for prenatal care. Which client should the nurse identify as having the greatest need for nutrition counseling during the first prenatal visit?
a. A client with phenylketonuria
b. A client entering a third pregnancy
c. A 42-year-old client with a BMI of 22
d. The vegan client who has had preconception counseling
a. A client with phenylketonuria
Phenylalanine crosses the placenta and leads to higher levels in the fetus than the mother. Maintenance of maternal phenylalanine levels within and acceptable range during pregnancy is associated with greatly diminished risk of poor infant outcomes. The nurse should reinforce nutritional teaching the vegan client received before becoming pregnant. Although the 42-year-old client is advanced for maternal age, a BMI of 22 is considered a healthy weight and the client should be encouraged to maintain a healthy diet.
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