A pregnant client plans to eat twice as many complex carbohydrates because of "eating for two." Which response should the nurse make to this client?
a. "That is correct for later in the pregnancy."
b. "Carbohydrate needs increase, but not by that amount."
c. "That is correct; just make sure it is mostly complex carbohydrates."
d. "Space your carbohydrate intake throughout the day to avoid spikes in blood glucose."
b. "Carbohydrate needs increase, but not by that amount."
Carbohydrate needs increase throughout pregnancy, but never achieve a doubling of the recommended amount of a non-pregnant female. Carbohydrate needs are elevated during pregnancy and lactation to 175 gm and 210 gm, respectively, to meet the glucose needs of the fetus and to replace the carbohydrate secreted in breast milk. The pregnant woman should increase consumption of complex carbohydrates to prevent constipation. It is wise to prevent spikes in blood glucose by consuming more complex carbohydrates; however, that does not address the correct amount of carbohydrates for a pregnant female.
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