The nurse is counseling a client about preconceptual nutrition. Which statement, if made by the nurse is most accurate?
1. "A person's weight has little impact on one's ability to conceive.".
2. "Increasing your daily intake of folic acid will help to reduce the risk of spina bifida.".
3. "It is recommended that you have a daily calcium intake of 1,000 mg–1,200 mg.".
4. "An individual does not have to be concerned with an increase iron intake before they conceive.".
2
Rationale: Adequate folic acid intake is associated with a decreased risk of neural tube defect. It is recommended that all females of childbearing age should increase their intake to 400 mcg/day. Both overweight and underweight conditions are associated with reduced probability of conception. Increasing calcium is recommended for reduction of PMS/PMDD symptoms. Women of childbearing age should be concerned with adequate iron levels. Increased requirement during pregnancy predispose females to risk of poor iron status. Decreased iron levels are associated with an increased risk of preterm delivery and low birth weight.
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