A patient who is at 18 weeks' gestation has been newly diagnosed with megaloblastic anemia. Which statement by the patient indicates that she understands the teaching?
A)"I should include fresh leafy green vegetables, red meat, fish, poultry, and legumes in my diet."
B)"Whenever possible, I should boil my vegetables in at least 2 quarts of water."
C)"Megaloblastic anemia is not known to cause any serious risks to my baby."
D)"My body makes red blood cells that are smaller than they should be."

Question

Quizplus · Accepted Answer

The patient's statement that she should include fresh leafy green vegetables, red meat, fish, poultry, and legumes in her diet indicates an understanding of the importance of consuming foods rich in folate and vitamin B12 to treat megaloblastic anemia. Option B is incorrect because boiling vegetables in at least 2 quarts of water can lead to the loss of vitamins and minerals, including folate and vitamin B12. Option C is incorrect because megaloblastic anemia can lead to serious risks for both the mother and the developing fetus, including preterm labor, low birth weight, and neural tube defects. Option D is incorrect because megaloblastic anemia results in larger-than-normal red blood cells, not smaller.

A Patient Who Is at 18 Weeks' Gestation Has Been