A nurse is teaching a client who reports wanting to lose weight about behavioral modifications. Which of the following statements should the nurse include in the teaching?

A) Folic acid deficiency is not typically associated specifically with a vegan diet. While folate (the natural form of folic acid) is found in higher amounts in animal products like liver, it can also be obtained from plant-based sources such as dark leafy greens, beans, and fortified grains. Therefore, while it's essential for vegans to ensure an adequate intake of folate, deficiency is not necessarily more common in this population compared to others.

B) Vitamin C deficiency is not typically associated specifically with a vegan diet. Vitamin C is abundant in many fruits and vegetables, which are staples of a vegan diet. As long as the individual consumes a variety of fresh produce, they can usually meet their vitamin C needs.

C) Vitamin D deficiency may be more common in individuals following a vegan diet. Vitamin D is primarily found in animal products like fatty fish, liver, and fortified dairy products. While some vegan sources of vitamin D exist, such as fortified plant-based milk and mushrooms exposed to ultraviolet (UV) light, they may not provide adequate amounts for some individuals, especially those with limited sun exposure, which is another source of vitamin D synthesis.

D) Magnesium deficiency is not typically associated specifically with a vegan diet. Magnesium is found in a wide variety of foods, including nuts, seeds, whole grains, and leafy green vegetables, which are commonly consumed in a vegan diet. As long as the individual includes these foods regularly in their diet, they are unlikely to develop a magnesium deficiency solely due to being vegan.

A) "This is a cephalhematoma, which can occur spontaneously":

This is the correct response. A cephalhematoma is a collection of blood between the skull bone and its periosteum and does not cross suture lines. It often develops after vacuum extraction during delivery due to rupture of blood vessels. It is typically benign and resolves on its own over several weeks to months as the blood is reabsorbed by the body. It is important to reassure the mother that this is a common occurrence and usually resolves without intervention.

B) "Mongolian spots can be found on the skin of many newborns":

Mongolian spots are blue-gray birthmarks that commonly appear on the skin of newborns, typically over the buttocks and lower back. They are not related to the swelling on the baby's head and do not cross suture lines.

C) "This is erythema toxicum, which is a transient condition":

Erythema toxicum is a benign rash that appears in many newborns within the first few days of life. It presents as small, yellow or white papules surrounded by erythema and often resolves without treatment within a week. It is not related to the swelling on the baby's head and does not cross suture lines.

D) "A caput succedaneum occurs due to compression of blood vessels and will cross the sutures lines on the baby's head":

While a caput succedaneum is a collection of serosanguinous fluid that crosses suture lines and typically resolves within a few days after birth, it is usually associated with swelling over the presenting part of the fetus during labor, not vacuum extraction. Additionally, caput succedaneum is not typically located on the top of the head, where the swelling from a cephalhematoma would be observed.