A pregnant client who is a lacto-vegetarian asks the nurse for assistance with her diet. What instruction should the nurse give? Select all that apply
1. "Protein is important; therefore, the addition of one serving of meat a day is necessary."
2. "A daily supplement of 4 mg vitamin B12 is important."
3. "The high fiber in a vegetarian diet is dangerous for pregnant women."
4. "Eggs are important to add to your diet. Eat six eggs per week."
5. "Milk products contain protein, but they are very low in iron."
2, 5
Rationale:
1. Lacto-vegetarians do not eat meat, meat by-products, or eggs, and the nurse cannot force this issue. Most vegetables must be combined with another food to form complete proteins.
2. The lack of meat and meat by-products requires the client to take a dietary supplement of vitamin B12. Lacto-vegetarians eat only vegetable and fruit products and dairy.
3. The high fiber found in vegetarian diets actually is good for the pregnant woman whose gastrointestinal tract has slowed down.
4. Lacto-vegetarians do not eat meat, meat by-products, or eggs, and the nurse cannot force this issue. Most vegetables must be combined with another food to form complete proteins.
5. Milk products will provide needed protein, but are not significant sources of iron.
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