A 32-year-old woman comes to the office with her 2-year-old son, whom you have been treating for spina bifida. The mother says that she would like to have another child, but she is concerned about the possibility that her future children may also have spina bifida. She currently takes a multivitamin containing 400 µg of folic acid. You advise her that to minimize the risk for having a second child with spina bifida she should do which of the following?

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75. A 32-year-old woman comes to the office with her 2-year-old son, whom you have been treating for spina bifida. The mother says that she would like to have another
child, but she is concerned about the possibility that her future children may also have spina bifida. She currently takes a multivitamin containing 400 µg of folic acid.
You advise her that to minimize the risk for having a second child with spina bifida she should do which of the following?
A) Continue her current vitamin regimen, preconceptionally and during the first trimester
B) Increase her dietary intake of folate-rich foods, preconceptionally and during the first trimester
C) Take additional supplementary folic acid as soon as she becomes pregnant
D) Take additional supplementary folic acid, preconceptionally and during the first trimester
E) Take two multivitamins daily, preconceptionally and during the first trimester
Transcribed Image Text:75. A 32-year-old woman comes to the office with her 2-year-old son, whom you have been treating for spina bifida. The mother says that she would like to have another child, but she is concerned about the possibility that her future children may also have spina bifida. She currently takes a multivitamin containing 400 µg of folic acid. You advise her that to minimize the risk for having a second child with spina bifida she should do which of the following? A) Continue her current vitamin regimen, preconceptionally and during the first trimester B) Increase her dietary intake of folate-rich foods, preconceptionally and during the first trimester C) Take additional supplementary folic acid as soon as she becomes pregnant D) Take additional supplementary folic acid, preconceptionally and during the first trimester E) Take two multivitamins daily, preconceptionally and during the first trimester
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