After discussing preconception needs with an Asian American nulliparous client, which of the following client statements indicates the need for further instruction?
1. “I should take folic acid supplements before I get pregnant.”
2. “If I become pregnant, I can continue to eat sushi twice a week.”
3. “I should continue to steam my vegetables rather than cooking them for a long time.”
4. “Eating soy products can increase my protein levels once I’m pregnant.”
The client needs further instructions when she says, “If I become pregnant, I can continue to eat sushi twice a week.” Raw fish, including tuna, should be avoided while the client is pregnant because of the risk of contamination with mercury and other potential teratogens. Folic acid supplements taken before the client gets pregnant and during pregnancy can help reduce the risk of neural tube defects. Steaming vegetables reduces the risk that vitamins will be lost in the cooking water. Soy products can increase the client’s protein levels.
CN: Health promotion and maintenance; CL: Evaluate