A client who recently learned that she is pregnant tells the nurse that she stopped eating meat years ago and started eating fish daily because it is healthier. Which of the following should the nurse respond to this client?
1. Eat plenty of fish such as swordfish and shark while pregnant.
2. Avoid albacore tuna because it has more mercury than other canned tuna.
3. Follow a complete vegetarian diet while pregnant as an alternative to eating fish.
4. Avoid shrimp, salmon, and catfish since these have higher mercury levels.
2. Avoid albacore tuna because it has more mercury than other canned tuna.
Rationale:
Nearly all fish contain traces of mercury. Mercury can place the developing nervous system of the fetus at risk and cause negative effects on cognitive functioning. The nurse should advise the client to avoid albacore tuna since it has more mercury than other canned tuna. Swordfish and shark should be avoided because they contain high levels of mercury. The nurse should not suggest that the client consume a complete vegetarian diet since this could lead to other nutritional deficiencies. The nurse should encourage the client to consume shrimp, salmon, and catfish, up to 12 ounces per week, since these fish have the least amount of mercury.
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