The healthcare provider gives a pregnant woman a prescription for one prenatal vitamin with iron daily and tells her to increase iron-rich foods in her diet because her hemoglobin is 8.2 g/dL or (5.09 mmol/L). When a list of iron-rich foods is given to the client, she tells the practical nurse (PN) that she is vegetarian and does not eat anything that "bleeds." Which instruction should the PN provide? (Select all that apply.)
Explanation & Rationale
Since the pregnant woman is vegetarian and does not eat meat, the practical nurse (PN) should provide alternative sources of iron-rich foods. Lentils and black beans are excellent vegetarian sources of iron and can be added to soups to increase iron intake (option a). Oatmeal is a good choice for breakfast as it is often fortified with iron (option d). This can help supplement iron intake in the diet. Green leafy vegetables, such as spinach, kale, and broccoli, are also rich in iron and should be increased in the client's diet (option e). Option b, which suggests eating red meat just until the anemia is resolved, is not appropriate for a vegetarian client. Option c, taking two prenatal vitamins with iron daily, is not necessary unless specifically advised by the healthcare provider. It is important to follow the prescribed dosage of medication and supplements as directed by the healthcare provider.