The nurse is providing nutritional counseling for a postpartum patient with a hemoglobin of 8.0. Which statement indicates that additional teaching is necessary?
1. "My iron is low, but it will increase as I take iron supplements."
2. "I need to increase food sources that contain iron."
3. "If I drink lots of milk, I will increase my iron level faster."
4. "I might feel less energetic and tire more easily while my iron is low."
3
Rationale 1: Iron supplements are indicated with anemia. This patient's hemoglobin level is 8.0; lower than 10 is considered anemia during pregnancy. Taking iron supplements will increase hemoglobin.
Rationale 2: Anemia requires additional iron. Many foods, such as red meat, will provide iron. Increasing iron-rich foods will improve anemia.
Rationale 3: Milk does not contain iron; it contains calcium. Increased calcium intake will not increase hemoglobin levels. Further, iron should not be taken with milk, as the iron will not be absorbed.
Rationale 4: Hemoglobin carries oxygen; when the hemoglobin level is low, the muscles are not adequately oxygenated, especially during activity, and fatigue results.
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