Meg is stable and ready to be discharged home from the hospital. You see her prior to discharge to provide general nutrition counseling. Biochemical Data: Hemoglobin XXXXXXXXXXg/dL) Hematocrit 31...

Meg is stable and ready to be discharged home from the hospital. You see her prior to discharge to provide general nutrition counseling.

Biochemical Data:

Hemoglobin 10 (12-15.5 g/dL) Hematocrit 31 (35%-47%) Serum iron 40 (50-170 micrograms/dL) Vitamin D (20-100 ng/dL)

 Dietary Data:

24-hour Diet Recall (when feeling well): Breakfast: Cereal with low-fat milk, banana, coffee with Splenda Midmorning: Six saltine crackers with 2 tablespoons of peanut butter Lunch: One cup of soup (usually tomato) and garden salad with ranch dressing, Diet Coke Midafternoon: Yogurt Dinner: Pasta with marinara sauce, 8 ounces of sweetened iced tea

1. Calculate Meg’s calorie and macronutrient needs based on her pre-pregnancy weight.

2. Provide recommendations related to her laboratory values.

3. Assess Meg’s diet recall. Can she meet her micronutrient requirements without a supplement?

 4 How might you adjust her diet to improve her iron intake?