The clinic nurse is discussing nutrition with a pregnant client who has lactose intolerance. The nurse would instruct the client to supplement the dietary source of calcium by eating which of the following foods?
1. Dried fruits
2. Creamed spinach
3. Hard cheese
4. Fresh squeezed orange juice
1
Rationale: The best source of calcium is dairy products. Women with lactose intolerance need other sources of calcium. Calcium is present in dark green leafy vegetables, broccoli, legumes, nuts, and dried fruits. Spinach contains calcium, but it also contains oxalates that decrease cal-cium availability. Additionally, creamed spinach may not be tolerated by a client with a lactose intolerance. Orange juice does not contain significant amounts of calcium unless it has been for-tified with calcium. Cheese is a dairy product and cannot be eaten when the client has lactose intolerance.
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