Nutrition and Diet Therapy 6th Edition by Carroll Lutz, Erin Mazur , Nancy Litch

Exercise 1

Mrs. H is a 30-year-old mother of three children, all younger than 5 years of age. On her 6-week postpartum visit, her hemoglobin level was 10 grams per 100 milliliters of blood. She is given a prescription for ferrous sulfate and referred to the office nurse for nutrition counseling regarding her iron intake. 1.Mrs. H tells the nurse that she eats what the children eat: cold cereal and milk for breakfast, peanut butter and jelly\ sandwiches and maybe a banana for lunch, and casseroles of tuna or hamburger for dinner. 1.Mrs. H is a heavy coffee drinker, consuming 10 cups per day, two with each meal and a total of four others during "coffee breaks."
The H family is lower-middle class. 1.Mr. H is a long distance truck driver and is away from home for long intervals. 1.Mrs. H has some knowledge of iron needs and sources because of her three pregnancies. She is reluctant to continue the ferrous sulfate she has been taking throughout her pregnancy. "It binds me up," she tells the nurse. Also, 1.Mrs. H maintains she cannot eat liver: "It gags me."
Based on her current habits, which of the following changes to her lifestyle would be likely to increase 1.Mrs. H's iron absorption from food?
A) Changing her meal times to allow 5 hours to elapse between them.
B) Avoiding citrus fruits and juices with meals.
C) Trying alternate forms of liver such as in sausage.
D) Delaying coffee and tea drinking to 2 hours after a meal.