Deborah, age 24, is a Caucasian woman who is attending her first prenatal appointment with the clinic obstetrician. Deborah is single and employed in a minimum-wage job with limited financial resources. She resides with her mother. In the first month of her pregnancy, Deborah has experienced mild nausea but no vomiting, and has had a ravenous appetite. Because she works as a waitress, she has

Question

access to balanced meals at breakfast and lunch, whereas at home she and her mother primarily eat ready-to-eat dinners, and occasionally make a home-cooked meal. She is a well-appearing, normal-weight woman with no known medical conditions. She is taking no medications except for an over-the-counter prenatal vitamin-mineral supplement, which she began on her own the day she administered her pregnancy self-test two weeks ago. She does not smoke or drink alcohol. Because she does not own a car, she walks about four miles a day; however, she has been very tired and may need to decrease the number of shifts she works at the restaurant if that continues.
Deborah receives a brochure about nutrition during her first prenatal clinic appointment. It correctly states that _____ typifies a balanced diet recommended during pregnancy.

a. "eating for two"
b. "eating sufficient amounts of nutrient-dense foods from the five food groups"
c. "eating as tolerated and taking a prenatal dietary supplement to make up for gaps in food intake"
d. "eating an additional 340 kcalories daily during the second trimester and an extra 450 kcalories each day during the third trimester"
e. "eating sufficient quantities of foods rich in folate"

Answer 1

b