Ketonuria, a name given to the presence of ketone bodies in the urine, occurs when the body cannot use glucose (sugar) to generate energy, either because of the lack of this nutrient in the bloodstream or metabolic problems, such as diabetes. In the absence of this fuel, the body will seek in the body fat the energy it needs. Ketones or ketone bodies are formed during the process of fat metabolization.
Ketone bodies in the urine may be a sign of decompensated diabetes, malnutrition, prolonged fasting, very strict diets, or any other situation that has caused the body to use fat as a source of energy, such as intense exercise.
GTPAL is the acronym being used to obtain history of a pregnant women. G means Gravida which is the total number of pregnancies, this includes the term,preterm and abortion pregnancies and Para is for only the total number of living children. In this case, it would be Gravida 5 and Para 3.
I believe the correct answer from the choices listed above is option A. Stretching that uses neuromuscular reflexes to gain further stretching of the muscle is called PNF stretching. PNF stands for <span>Proprioceptive Neuromuscular Facilitation. Hope this helps. Have a nice day.</span>