A pregnant client is receiving counseling related to proper nutrition for fetal development. When told that an iron supplement is advised, the woman says, "Why should I take iron? I was never told I was anemic."
Which is the nurse's best response?
1. "Your body needs more iron than usual for the baby, and you will temporarily have a greater blood volume."
2. "Your body does not absorb iron from food as readily because you are pregnant. A supplement will prevent anemia."
3. "More iron is eliminated from your body because of the increased urine output you experience during pregnancy. The supplement will prevent anemia."
4. "Nausea will probably keep you from eating enough meat to keep your iron up, so the supplement will prevent anemia."
Correct Answer: 1
Rationale 1: More iron is needed during pregnancy because of increased demand from the woman's body and the fetus.
Rationale 2: Pregnancy does not affect the absorption of iron.
Rationale 3: Iron is eliminated in the stool and in the urine, but elimination does not increase during pregnancy.
Rationale 4: Not all women are nauseated during pregnancy. Nausea is a side effect of iron tablets.
Global Rationale: More iron is needed during pregnancy because of increased demand from the woman's body and the fetus. Pregnancy does not affect the absorption of iron. Iron is eliminated in the stool and in the urine, but elimination does not increase during pregnancy. Not all women are nauseated during pregnancy. Nausea is a side effect of iron tablets.
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