The prenatal nurse has reviewed a patient's 3-day diet recall and notes that the patient typically eats a deli meat sandwich or hot dog, chips, and an apple for lunch
Breakfast consists of cereal, milk, and juice; and dinner contains meat, a starch, vegetables, and a salad. What action by the nurse is most important? .
A.
Advise the woman to obtain more calories from protein.
B.
Assess the woman's knowledge of proper food handling.
C.
Discuss adding fish such as tuna or swordfish to the diet.
D.
Weigh the woman and document her weight in the chart.
ANS: B
Pregnant women should be taught proper food handling to prevent foodborne illnesses. Deli meats, hot dogs, and luncheon meats should be stored at 40 ° or less, heated before eating, and consumed within 4 days. Tuna should be eaten in moderation and fish such as shark, swordfish, king mackerel, and tilefish should be avoided in pregnancy because of mercury poisoning. Promoting safety is a priority. The woman may or may not need more calories from protein. Obtaining the patient's weight and documentation are important prenatal activities, but are not the best answer because the nurse needs to assess the woman's knowledge and practice of safe food handling first.
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