A 21-year-old pregnant woman smokes 8 to 10 cigarettes per day. The clinic nurse reviews the patient's diet with her and notes that she does not eat fruits or vegetables. Which action should the nurse recommend to this patient?
A.
Cut down on smoking and eventually quit.
B.
Eat non-produce sources of vitamin C.
C.
Take an over-the-counter vitamin C supplement.
D.
Try to drink one glass of orange juice daily.
ANS: C
Food sources rich in vitamin C include produce such as red and green sweet peppers, oranges, kiwi fruit, grapefruit, strawberries, Brussels sprouts, cantaloupe, broccoli, sweet potatoes, tomato juice, cauliflower, pineapple, and kale. Most pregnant women are able to meet the recommended daily allowance (80 to 85 mg) by including at least one daily serving of citrus fruit or juice or vitamin C-rich food source, but women who smoke need more (NIH, 2011). Although it is important for the woman to quit smoking, this alone will not help her meet her dietary need for Vitamin C. Because she does not eat the primary sources of this vitamin, an over-the-counter supplement would be her best option.
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