A nurse is reinforcing dietary teaching with a client who is at 12 weeks of gestation. Which of the following statements should the nurse make?
Explanation & Rationale
A. “Limit your caffeine intake to 700 milligrams per day.”: Caffeine intake during pregnancy should be limited to about 200 milligrams per day. Higher amounts are associated with increased risks such as miscarriage and low birth weight, making this recommendation inaccurate. B. “Eat 40 milligrams of protein-rich foods per day.”: Protein requirements during pregnancy are measured in grams, not milligrams. Pregnant clients typically need about 71 grams of protein per day, so this reflects an incorrect unit and inadequate intake. C. “Increase your dietary intake by 500 calories per day.”: Caloric needs during the first trimester generally do not increase significantly. An additional 300–450 calories per day is usually recommended later in pregnancy, making this advice inappropriate at 12 weeks’ gestation. D. “Consume 600 micrograms of folic acid per day.”: A daily intake of 600 micrograms of folic acid is recommended during pregnancy to support fetal neural tube development. Adequate folic acid intake reduces the risk of neural tube defects, especially in early pregnancy.