Nutrition 1020 Module 5 Case Study:
Gertrude
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? - ANSShe could have another type of anemia besides iron
deficiency anemia
Gertrude's European ancestry could increase her risk of having low folate status if she exposed
her skin to excess sunlight (UV radiation) - ANSTrue
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. - ANSTrue
What is most likely causing Gertrude's anemia? A deficiency of ________. - ANSFolate
What foods in Gertrude's diet are lacking in the nutrient(s) that she needs to correct her
anemia? - ANSDark green vegetables
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 - ANSAll of these
Gertrude's unborn baby is at risk for spina bifida. - ANSTrue
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.
Henry could have a vitamin B12 deficiency because he doesn't consume animal products and
doesn't take a vitamin B12 supplement. - ANSTrue
Gertrude
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? - ANSShe could have another type of anemia besides iron
deficiency anemia
Gertrude's European ancestry could increase her risk of having low folate status if she exposed
her skin to excess sunlight (UV radiation) - ANSTrue
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. - ANSTrue
What is most likely causing Gertrude's anemia? A deficiency of ________. - ANSFolate
What foods in Gertrude's diet are lacking in the nutrient(s) that she needs to correct her
anemia? - ANSDark green vegetables
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 - ANSAll of these
Gertrude's unborn baby is at risk for spina bifida. - ANSTrue
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.
Henry could have a vitamin B12 deficiency because he doesn't consume animal products and
doesn't take a vitamin B12 supplement. - ANSTrue
