The nurse is working with a pregnant 14 year old. Which statement indicates that additional education is required?
1. "Because I am still growing, I need more calories than a pregnant adult."
2. "I need to eat fruit and vegetables every day to get enough vitamins."
3. "My favorite food is pizza, and I eat it once a week."
4. "Since I don't eat breakfast, I'll have to eat more at supper."
4
Rationale 1: Because of the metabolic demands of their growth and the metabolic demands of the fetus, pregnant young adolescents require up to 50 kcal/kg more per day than do pregnant adults.
Rationale 2: Eating a variety of fruits and vegetables helps ensure adequate intake of vitamins and some minerals.
Rationale 3: Pizza is not contraindicated during pregnancy. Eating a food once per week will not lead to nutritional imbalance.
Rationale 4: Pregnant young adolescents should eat breakfast to ensure the adequate calorie and protein intake needed to continue the teen's growth and the growth and development of the fetus.
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