A patient is pregnant for the third time. In regard to her nutritional status, which of the following applies?
a. The patient should be given rigid recommendations about weight gain.
b. The patient should approximately double her protein intake.
c. The patient should increase her vitamin A and milk product consumption.
d. The patient should eat a variety of foods from the four food groups.
D
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A Rigid recommendations about weight gain should be avoided, as the quality of nutrition during pregnancy is more important than weight gain. The kilocalories consumed per day are guidelines recommended in Eating Well With Canada's Food Guide for energy requirements during pregnancy.
B The patient needs to increase her daily protein intake to 60 g during pregnancy, but she does not need to double it. (This would be an increase of approximately 20 g of protein.)
C Prenatal care usually includes vitamin and mineral supplementation to ensure daily intakes. The recommended intake of vitamin A does not increase over that of the nonpregnant state.
D The patient should choose extra nutrition by eating a variety of foods from the four food groups to ensure adequate vitamin, mineral, and nutritional intake.
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