A nurse at a provider’s office is caring for a 24-year-old female client.

Exhibits

Complete the following sentence by using the lists of options.
The nurse should prepare to reinforce teaching with the client about a

dropdown

with a prescription of

dropdown

.

Choice A rationale

Chicken breast is a rich source of heme iron, which is highly bioavailable and easily absorbed by the body. During pregnancy, the increased maternal blood volume and fetal erythropoiesis significantly increase the demand for iron to support hemoglobin synthesis. Consuming iron-rich animal protein like chicken helps prevent iron-deficiency anemia, a common complication of gestation.

Choice B rationale

Carrots are a good source of beta-carotene, a precursor to vitamin A, and other vitamins and minerals. However, they are not a significant source of dietary iron. While a healthy part of a balanced diet, carrots would not be recommended as the best source for a client needing increased iron intake during pregnancy.

Choice C rationale

Feta cheese is a dairy product that is a good source of calcium and protein. However, dairy products generally contain minimal amounts of iron, and the calcium in dairy can actually inhibit the absorption of non-heme iron from other food sources if consumed simultaneously. Therefore, feta cheese is not an optimal choice for increasing iron intake.

Choice D rationale

Apples are a good source of dietary fiber and vitamin C, which can enhance the absorption of non-heme iron when consumed concurrently with iron-rich plant foods. However, apples themselves contain very little iron. Thus, while beneficial for overall nutrition, apples are not a primary source of iron for a client requiring increased intake.

Choice A rationale

Wearing the lap belt high across the abdomen is incorrect and potentially dangerous. The lap belt should be positioned low, across the pelvic bones (hips) and under the pregnant abdomen. This ensures that the force of a collision is distributed across the strong pelvic bones, minimizing direct pressure on the uterus and fetus, thereby reducing the risk of placental abruption or direct fetal trauma.

Choice B rationale

Disabling the vehicle's driver-side airbags is strongly discouraged and unsafe. Airbags are designed to provide crucial protection in a collision by deploying rapidly to cushion the occupant. While pregnant individuals should maintain a safe distance from the steering wheel to mitigate airbag impact on the uterus, disabling the airbag removes a vital safety feature and significantly increases the risk of severe injury to both the mother and the fetus in an accident.

Choice C rationale

Moving the seat as far away as possible from the steering wheel, while still maintaining control of the vehicle, is a crucial safety measure for pregnant individuals. This provides a greater crumple zone and reduces the risk of the steering wheel or dashboard impacting the gravid uterus in the event of a collision. Maintaining a distance of at least 10 inches between the sternum and the steering wheel is generally recommended to maximize safety and minimize potential fetal injury from airbag deployment.

Choice D rationale

Placing the shoulder harness across the gravid uterus is incorrect. The shoulder harness should be positioned snugly between the breasts and across the collarbone. It should never be placed directly over the abdomen or the uterus. Proper placement ensures that the upper body is restrained effectively, preventing forward motion and distributing impact forces across the chest and shoulder, thus protecting the gravid uterus from direct trauma.