1. Gertrude is six months pregnant. She loves hamburg- She could have another
ers and milkshakes. She is a woman of European de- type of anemia besides
scent who has anemia, but she did not respond to iron iron deficiency anemia
supplements.
What could be Gertrude's problem?
2. Gertrude's European ancestry could increase her risk True
of having low folate status if she exposed her skin to
excess sunlight (UV radiation)
3. Gertrude's anemia is probably not due to a vitamin True
B12 deficiency, because vitamin B12 is found in animal
food sources and Gertrude eats plenty of these.
4. What is most likely causing Gertrude's anemia? A defi- Folate
ciency of .
5. What foods in Gertrude's diet are lacking in the nutri- Dark green vegetables
ent(s) that she needs to correct her anemia?
6. How could you confirm the cause of Gertrude's nutri- All of these
tional deficiency?
a. Do a complete dietary analysis to verify low dietary
intake of the suspected nutrient
b. Verify clinical symptoms of anemia (weakness, pal-
lor, 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
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