What should a nurse teach a prima gravida client about folic acid?

The information regarding folic acid intake for a prima gravida, or first-time pregnant, client is pivotal for the health of both the mother and the developing fetus. Folic acid is crucial in preventing neural tube defects in the fetus, and the recommended intake reflects this necessity.

The correct choice indicates that the client should consume a maximum of 300 micrograms of folic acid every day. This aligns with health guidelines that recommend women of childbearing age take at least 400 micrograms daily to support fetal development, which is particularly important before conception and during early pregnancy. Increased requirements are typically established as the pregnancy progresses, particularly to enhance the ability to support the growing fetus and prevent deficiencies.

The other options present inaccuracies regarding folic acid intake. Suggesting that the client avoid folic acid until the second trimester disregards the importance of early supplementation. Limiting intake to a maximum of 300 micrograms overlooks the general recommendation of 400 micrograms prior to and in the early stages of pregnancy. Lastly, recommending the intake of folic acid only when feeling fatigued fails to emphasize the necessity of consistent daily supplementation for optimal fetal health. Thus, teaching the importance of a consistent daily intake of folic acid is vital.