Step-by-step explanation:
The food item that the patient selects indicating that additional teaching on good sources of iron is needed is **Option 2: White bread.** White bread is not a good source of iron, and if the patient is relying on it for iron intake during pregnancy, it suggests a need for further education on better iron-rich food choices. Spinach, oranges, and milk can be good sources of iron or other important nutrients during pregnancy, depending on how they are included in the diet.