The nurse is preparing a prenatal class focused on nutrition.
Which of the following statements should the nurse make?
The nurse is preparing a prenatal class focused on nutrition.
Which of the following statements should the nurse make?
A. "Raw sushi is okay to consume during pregnancy because of its high protein level."
[3%]
B. "Caffeine intake should be limited during pregnancy to less than 200 mg/day."
[61%]
C. "To increase your iron intake, choose citrus fruits or strawberries."
[25%]
D. "Sodium intake is restricted to 1 gram per day during all three trimesters."
[11%]
Statistics
Subject/Lesson
Subject
Maternal & Newborn Health
Lesson
Antepartum
Client Need
Test Plan
Health Promotion and Maintenance
Related Topic
Ante/Intra/Postpartum and Newborn Care
Item Type
Item Type
Application
Explanation
Choice B is correct. Caffeine intake should be less than 200 mg/day. Excessive caffeine intake has been linked to miscarriage or preterm birth. An 8-oz (240 mL) cup of brewed coffee contains approximately 137 mg of caffeine.
Choice A is incorrect. The client should avoid raw or undercooked fish, meat, poultry, or eggs. The potential for food-borne illness with this type of food is high and may cause abortion or severe illness in the newborn.
Choice C is incorrect. Citrus fruits and strawberries are excellent sources of vitamin C - not iron. Vitamin C is coadministered with iron to enhance its absorption. However, iron-rich foods include enriched cereals, beef, lentils, and garbanzo beans.
Choice D is incorrect. Sodium needs are increased during pregnancy because of the increased blood volume. Despite the increase during pregnancy, the client should not eat high-sodium foods such as canned soups, smoked foods, and processed luncheon meats. Sodium is not restricted during pregnancy unless some other superimposing illness, such as gestational hypertension, is present.
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2 Key Topics

Foods & Drugs to Avoid
28.2 Maternal Nutrition & Safety
Additional Info
General Nutritional Guidelines During Pregnancy and Lactation
✓ The client should not eat shark, swordfish, king mackerel, and tilefish because of the high levels of mercury.
✓ Do not consume raw (unpasteurized) milk or milk products.
✓ Do not eat raw or undercooked fish, meat, poultry, or eggs.
✓ A moderate intake of certain fish such as salmon, pollack, and fish is recommended (12 oz weekly)