Mary is a pregnant 17-year-old in her last trimester. She is not involved with her baby's father and dropped out of high school. She lives with a foster family in a home that is very chaotic
The nurse discusses nutritional with her at each visit, and is concerned that her diet mostly consists of fast foods high is fat and calories. She does not eat vegetables or fruit. She rarely takes her prenatal vitamins. At her clinic visit the nurse explains the importance of eating a balanced diet. As an example, she explains that iron deficiency can result in: 1. Delays in cognitive and motor development.
2. Delay in muscle formation.
3. The development of neutropenia.
4. Delayed mineralization of bones and teeth.
1
Rationale: When mothers consume sufficient iron during pregnancy the infant is born with iron stores to last for several months. Insufficient stores of iron may result in delays in motor and cognitive development. Iron insufficiency also results in anemia. Fluoride, not iron, is needed for mineralization of bones and teeth.
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