CNM Certified Nurse Midwife

Answer: D - The should go outside the house for 20 to 30 minutes in the midday sun to obtain sufficient amounts of vitamin D. The client must do this at least twice a week. Vegans do not eat animal products or by-products, so vitamin D may be obtained from fortified soymilk or from sunlight. The client must increase her intake of dark green vegetables to meet her calcium needs. Vitamin B12 deficiency is always a concern for vegans who are pregnant, so the nurse midwife may initiate vitamin B12 supplementation. The nurse midwife may recommend that the client combine different protein sources in one meal because some plant sources do not contain all essential amino acids.