A female patient is willing to alter nutrition and activity status in an attempt to conceive. What teaching should the nurse provide to support this patient's desire? (Select all that apply.)
A) Exercise 30 minutes each day.
B) Plan to reduce body fat to less than 10%.
C) Ingest vegetables that are high in fiber.
D) Consciously reduce every day stressors.
E) Add brown rice and dark bread to the diet.
A, C, D, E
Feedback:
Nutrition, body weight, and exercise are all important for adequate ova production because they all influence the blood glucose/insulin balance. The patient should be instructed to exercise 30 minutes each day, ingest vegetables that are high in fiber, and reduce every day stressors. In addition, eating slowly digested carbohydrate foods such as brown rice and dark bread rather than food such as white bread, which has easily digested carbohydrates, cannot only increase fertility by keeping insulin levels balanced. Decreased body weight or a body/fat ratio of less than 10% can reduce pituitary hormones such as FSH and LH and halt ovulation.
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