Latest Nutrition 1020 Module 5 Case Study: Gertrude 2026
1. Gertrude is six months pregnant. She loves hamburgers and milkshakes. She
is a woman of European descent who has anemia, but she did not respond to
iron supplements.
What could be Gertrude's problem?: She could have another type of anemia besides iron deficiency
anemia
2. Gertrude's European ancestry could increase her risk of having low folate
status if she exposed her skin to excess sunlight (UV radiation): True
3. Gertrude's anemia is probably not due to a vitamin B12 deficiency, because
vitamin B12 is found in animal food sources and Gertrude eats plenty of
these.: True
4. What is most likely causing Gertrude's anemia? A deficiency of .: Folat
5. What foods in Gertrude's diet are lacking in the nutrient(s) that she needs to
correct her anemia?: Dark green vegetables
6. How could you confirm the cause of Gertrude's nutritional deficiency?
a. Do a complete dietary analysis to verify low dietary intake of the suspected
nutrient
b. Verify clinical symptoms of anemia (weakness, pallor, fatigue, etc.)
c. Perform biochemical tests to show a low level of the nutrient in her body
d. Provide the nutrient that is believed to cause her anemia back in her diet and
consider supplementation
e. All of these: All of these
7. Gertrude's unborn baby is at risk for spina bifida.: True
8. Henry turned vegan three years ago after his father was diagnosed with
cancer. He eats a diet of whole foods and does not use vitamin and mineral
supplements. He also read a book by John Robbins about reclaiming health,
which pointed out the environmental and resource inefficiencies of raising
animal protein, the negative health data generated by the overuse of animal
products, and the health-promoting characteristics of vegetarian diets. He was
recently diagnosed with anemia and complained of numb, cold-feeling fingers
and toes.
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1. Gertrude is six months pregnant. She loves hamburgers and milkshakes. She
is a woman of European descent who has anemia, but she did not respond to
iron supplements.
What could be Gertrude's problem?: She could have another type of anemia besides iron deficiency
anemia
2. Gertrude's European ancestry could increase her risk of having low folate
status if she exposed her skin to excess sunlight (UV radiation): True
3. Gertrude's anemia is probably not due to a vitamin B12 deficiency, because
vitamin B12 is found in animal food sources and Gertrude eats plenty of
these.: True
4. What is most likely causing Gertrude's anemia? A deficiency of .: Folat
5. What foods in Gertrude's diet are lacking in the nutrient(s) that she needs to
correct her anemia?: Dark green vegetables
6. How could you confirm the cause of Gertrude's nutritional deficiency?
a. Do a complete dietary analysis to verify low dietary intake of the suspected
nutrient
b. Verify clinical symptoms of anemia (weakness, pallor, fatigue, etc.)
c. Perform biochemical tests to show a low level of the nutrient in her body
d. Provide the nutrient that is believed to cause her anemia back in her diet and
consider supplementation
e. All of these: All of these
7. Gertrude's unborn baby is at risk for spina bifida.: True
8. Henry turned vegan three years ago after his father was diagnosed with
cancer. He eats a diet of whole foods and does not use vitamin and mineral
supplements. He also read a book by John Robbins about reclaiming health,
which pointed out the environmental and resource inefficiencies of raising
animal protein, the negative health data generated by the overuse of animal
products, and the health-promoting characteristics of vegetarian diets. He was
recently diagnosed with anemia and complained of numb, cold-feeling fingers
and toes.
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