The pregnant client at 23 weeks' gestation has a hemoglobin of 9.5. Which diet choice indicates that teaching has been effective?

Question

1. Tofu with mixed vegetables in curry, milk, whole-wheat bun
2. Roast beef, steamed spinach, tomato soup, orange juice
3. Pork chop, mashed potatoes and gravy, cauliflower, tea
4. Broiled fish, lettuce salad, grapefruit half, carrot sticks

Answer 1

2
Rationale:
1. This diet is high in calcium. The client has iron-deficiency anemia, and requires a high-iron diet.
2. This client is anemic, and needs iron. This meal contains iron in the beef, folic acid in the spinach, and vitamin C in the tomato soup and orange juice. Vitamin C helps absorption of the iron; folic acid is needed for production of red cells.
3. This meal has a moderate amount of protein, but no vitamin C. The meal containing beef is better.
4. This meal is high in fiber, low in fat, and moderately high in protein, but low in iron. This client is anemic, and needs iron.