A nurse is reinforcing nutrition teaching with a client during the first prenatal visit. Which of the following statements by the client indicates an understanding of the teaching?

Choice A rationale Consumption of alcohol during pregnancy is contraindicated due to its teratogenic effects, which can lead to Fetal Alcohol Spectrum Disorders (FASDs). No amount of alcohol is considered safe during pregnancy, as it can cross the placenta and directly harm fetal development, affecting multiple organ systems. Choice B rationale Albacore tuna has higher mercury levels compared to other fish due to its longer lifespan and position in the food chain. High mercury intake during pregnancy can negatively impact fetal neurological development. Pregnant clients are advised to limit albacore tuna to 6 ounces per week, but some guidelines suggest even less or alternative fish. Choice C rationale Switching to whole milk provides increased caloric and fat intake, which is beneficial during pregnancy to support fetal growth and maternal energy needs. Whole milk also provides essential fat-soluble vitamins like A and D, and calcium, crucial for fetal bone development, in higher quantities than skim milk. Choice D rationale While moderate caffeine intake (generally less than 200 mg per day) is considered acceptable by some organizations during pregnancy, 600 milligrams daily significantly exceeds this recommendation. High caffeine intake is associated with risks such as miscarriage, preterm birth, and low birth weight due to its vasoconstrictive effects.