How should the nurse respond to the pregnant client who says that "since I am eating for two, I need to eat nearly twice as many carbohydrates"?
1. "That is correct; just make sure it is mostly complex carbohydrates.".
2. "That is correct for later in the pregnancy.".
3. "Carbohydrate needs increase, but not by that amount.".
4. "Space your carbohydrate intake throughout the day to avoid spikes in blood glucose.".
3
Rationale: Carbohydrate needs increase throughout pregnancy, but never achieve a doubling of the recommended amount of a non-pregnant female. The pregnant woman should increase consumption of complex carbohydrates to prevent constipation. It is wise to prevent spikes in blood glucose by consuming more complex carbohydrates; however, that does not address the correct amount of carbohydrates for a pregnant female.
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