Which of the following nutritional guidelines should a nurse provide to a client who is entering the second trimester of her pregnancy?
A) "You'll need to eat more calories and to make sure you eat a balanced diet high in nutrients."
B) "Try to eat your normal number of calories, but aim to eat a diet that's higher in fruits and vegetables."
C) "The more food energy you consume, the greater the chances that you will have a healthy pregnancy."
D) "Maintain your regular calorie intake, but take some supplements and emphasize organic foods."
Ans: A
Nutrient needs during pregnancy increase to support growth and maintain maternal homeostasis, particularly during the second and third trimesters. During the last two trimesters, women of normal weight need approximately 300 extra calories per day. Key nutrient needs include protein, calories, iron, folic acid, calcium, and iodine. It would be inaccurate to encourage the client to maximize calorie intake.
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