A client who is at 18 weeks' gestation has been newly diagnosed with megaloblastic anemia. Which client statement indicates teaching has been effective?
1. "My body makes red blood cells that are smaller than they should be."
2. "Megaloblastic anemia is not known to cause any serious risks to my baby."
3. "Whenever possible, I should boil my vegetables in at least 2 quarts of water."
4. "I should include fresh leafy green vegetables, red meat, fish, poultry, and legumes in my diet."
4
Explanation:
1. In megaloblastic anemia, red blood cells become enlarged and are fewer in number.
2. Maternal folic acid deficiency has been associated with an increased risk of neural tube defects (NTDs) such as spina bifida, meningomyelocele, and anencephaly in the newborn.
3. Folic acid, which is crucial for inclusion in the diet of clients with megaloblastic anemia, is easily destroyed by overcooking or cooking with large quantities of water.
4. Folic acid, which is used to treat megaloblastic anemia, is readily available in foods such as fresh leafy green vegetables, red meat, fish, poultry, and legumes.
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