vegetables other than potatoes or corn are eaten regularly, dietary guidance and vitamin/mineral supplementation may be appropriate.

The fruits listed are mainly those most commonly eaten across the United States. Citrus fruits and juices, strawberries, and cantaloupe are especially good sources of vitamin C and folate. If no juices or fruits are eaten regularly, dietary guidance and vitamin/mineral supplementation may be appropriate.

Meat, poultry, fish, eggs, and beans provide protein, iron, zinc, many other minerals, and vitamins.

Cold cuts, pastries, and deep-fried foods are all high in fat and calories. Frequent use of high-fat foods may crowd out better sources of nutrients.

Grains provide vitamins, minerals, protein, and energy without providing much fat. Whole grains are a source of fiber. Highly fortified cereals such as Total® and Special K® provide vitamins in amounts comparable to those in standard-strength vitamin pills.

See pages 27, 28, and 45 for information about dietary guidance.

13. If intake was not usual, ask: What was different about the way you ate yesterday? If a problem with diet is suspected, it is desirable to assess intake more thoroughly. (See Tab 7.)

Life-Style

14. Pregnant women need guidance concerning safe activity levels and may need encouragement to continue moderate exercise.

15-17. A "Yes" answer (indicating that the woman ever uses tobacco, alcoholic beverages, or street drugs) calls for questions to determine if any changes in behavior have been made already:



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