Read the following information.

Free OET Writing Sample Test with Answer Subtest Dietetics #5

Notes: Jessica Lee, a 28-year-old woman, has been referred to you by her obstetrician for prenatal nutrition counseling.


Patient: Ms. Jessica Lee DOB: 20th May 1997

14th August 2025

Presenting Complaint: Prenatal nutrition and healthy pregnancy History of Presenting Complaint: First pregnancy, concerns about proper nutrition for herself and the baby, occasional morning sickness No known food allergies or intolerances

Past Medical History: No significant medical conditions No history of gestational diabetes or hypertension

Anthropometric Data: Height: 162 cm Weight: 58 kg BMI: 22.1

Biochemical Data: Hemoglobin: 12.5 g/dL (Ref range: 11.5-15.5 g/dL) Ferritin: 30 ng/mL (Ref range: 15-150 ng/mL) Vitamin D: 25 ng/mL (Ref range: > 30 ng/mL) Blood Pressure: 120/80 mm Hg

Medication: Prenatal vitamin supplement

Social History: Married, full-time office job, supportive family No smoking or alcohol consumption Engages in regular low-impact exercise

Dietary Information: Breakfast: Whole-grain cereal with milk and fruit Lunch: Salad with lean protein (chicken or tofu) and a side of whole grains Dinner: Balanced home-cooked meals with lean protein, vegetables, and grains Snacks: Fresh fruits, yogurt, and nuts

Management: Advice given: Prenatal nutrition guidelines, including adequate folic acid, iron, and calcium intake Recommendation for a well-balanced diet with emphasis on whole foods Education on managing morning sickness and optimizing nutrient absorption Encourage regular, low-impact exercise

Immediate plan: Schedule regular prenatal nutrition counseling sessions Provide resources for meal planning and addressing specific dietary concerns

Writing Task:

Using the information in the case notes, write a letter back to the referring obstetrician, Dr. Rachel Adams, Blossom Obstetrics Clinic, 456 Maple Avenue, Riverside. In your answer:

--Expand the relevant notes into complete sentences 

--Do not use note form

--Use letter format

The body of the letter should be approximately 180–200 words.

Dr. Rachel Adams

Blossom Obstetrics Clinic

456 Maple Avenue Riverside


14th August 2025


Dear Dr. Adams,


Re: Ms. Jessica Lee, DOB 20th May 1997.


I am writing to provide you with an update on the prenatal nutrition counseling and management of your patient, Ms. Jessica Lee, who was referred to our clinic to ensure a healthy pregnancy and optimal nutrition for herself and her baby. Following our assessment, here is the plan we have established:

Ms. Lee is currently experiencing her first pregnancy and has expressed concerns about proper nutrition for both herself and her baby. She occasionally experiences morning sickness but has no known food allergies or intolerances.

Anthropometrically, her BMI is 22.1, and her hemoglobin levels are within the normal range. Her ferritin levels are at 30 ng/mL, and her vitamin D levels are slightly below the recommended range.

Jessica's social context includes marriage, a supportive family, and a full-time office job. She is not a smoker, does not consume alcohol, and engages in regular low-impact exercise.

Our advice to Ms. Lee includes adherence to prenatal nutrition guidelines, ensuring adequate intake of essential nutrients like folic acid, iron, and calcium. We have recommended a well-balanced diet with an emphasis on whole foods to support her and her baby's nutritional needs throughout the pregnancy.

Jessica has also been educated on managing morning sickness and optimizing nutrient absorption. We encourage her to continue regular, low-impact exercise for overall well-being.

Our immediate plan involves scheduling regular prenatal nutrition counseling sessions to monitor her progress and address specific dietary concerns. We will provide resources for meal planning to ensure she receives the necessary nutrients for a healthy pregnancy.

Please do not hesitate to reach out if you require any further information or have specific questions regarding Jessica's prenatal nutrition and management.


Yours sincerely,

Registered Dietitian


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