Question

At a routine health assessment, a client tells the nurse that she is planning a pregnancy in the near future. She asks about preconception diet changes. Which of the statements made by the nurse is best?

A) "Include fibers in your daily diet."
B) "Increase green leafy vegetable intake."
C) "Drink a glass of milk with each meal."
D) "Eat at least 1 serving of fish weekly."

Answer 1

For a client planning a pregnancy, consuming at least 400 µg/day of folate and focusing on a diet rich in a variety of nutrients is key. Include seafood, diverse proteins, fruits, vegetables, whole grains, and lean meats. Consult healthcare providers for personalized advice.

Step-by-step explanation:

In response to the client planning a pregnancy and asking about preconception diet changes, it is recommended to consume a balanced diet that includes a variety of nutrients beneficial for pregnancy. Specifically, it's important to incorporate at least 400 µg/day of folate from supplements or fortified foods, as recommended by the Food and Nutrition Board of the Institute of Medicine. Folate is critical in preventing birth defects and supports the development of the fetus.

The client should focus on consuming nutritious foods rich in vitamins and minerals, and include a diversity of protein sources such as nuts, seeds, beans, legumes, poultry, soy, and seafood. It's particularly recommended to consume two 4-ounce servings of seafood per week to improve nutrient intake and promote health benefits. While it's a myth that pregnancy requires doubling caloric intake, the mother does need extra calories, proteins, and lipids, as well as an increase in certain vitamins and minerals.

Thus, including a serving of fish weekly is a good practice, but should be part of a wider strategy of balanced eating. Choose a mix of fruits and vegetables, whole grains, lean meats, and unsaturated fats to ensure a comprehensive nutrient intake. Always consult with a healthcare provider for personalized dietary advice and prenatal care.