A primigravida who is at 10-weeks gestation is hospitalized on the antepartum unit for pyelonephritis. The client tells the practical nurse (PN) that she has had several episodes of nausea. When reviewing her lunch menu, which food should the PN discourage her from choosing?
A.
Cheeseburger and French fries.
B.
Baked chicken with rice.
C.
Pasta with steamed vegetables.
D.
Baked potato chips and lemonade.
The Correct Answer and Explanation is:
The correct answer is A. Cheeseburger and French fries.
Explanation:
Pyelonephritis, a type of urinary tract infection affecting the kidneys, can significantly impact a pregnant woman’s nutritional needs and overall well-being. Pregnant women with pyelonephritis need to maintain a balanced diet that helps manage symptoms and supports both maternal and fetal health.
Nausea Management: The client’s episodes of nausea are common in early pregnancy due to hormonal changes, and managing this symptom is crucial for her comfort and nutrition. Foods that are greasy, high in fat, or overly rich are often harder to digest and can exacerbate nausea. High-fat foods, such as those found in a cheeseburger and French fries, can be particularly problematic.
Nutritional Considerations:
- Cheeseburger and French Fries: This option contains high levels of saturated fats and oils. Fatty and greasy foods can increase gastrointestinal discomfort, potentially worsening nausea. Additionally, the high fat content might slow digestion and increase the risk of digestive issues, which can further aggravate nausea.
- Baked Chicken with Rice: This meal is relatively mild and balanced, offering a good source of protein and carbohydrates with less fat. It is generally easier on the stomach and can help in managing nausea while providing essential nutrients.
- Pasta with Steamed Vegetables: This option is also balanced, with moderate fat and a good mix of carbohydrates and fiber from vegetables. It is less likely to irritate the stomach compared to greasy foods.
- Baked Potato Chips and Lemonade: While not the most nutritious, this option is less likely to cause nausea compared to a heavy cheeseburger. However, the high salt content in potato chips could contribute to fluid retention and hypertension, which should be monitored in pregnancy.
Clinical Rationale: Encouraging the client to avoid high-fat, greasy foods like cheeseburgers and French fries can help manage her nausea more effectively. Instead, meals that are lighter and lower in fat, such as baked chicken with rice or pasta with steamed vegetables, would be better choices for her condition and overall comfort.
In summary, A. Cheeseburger and French fries should be discouraged due to their high fat content, which can exacerbate nausea and potentially affect digestion, making it a less suitable choice for a client experiencing pregnancy-related nausea and managing pyelonephritis.