A nurse is completing a prenatal assessment for a 30-year-old client at 26 weeks gestation. The client reports frequently craving and eating small amounts of laundry starch. Which of the following additional findings would most strongly support a diagnosis of Pica?

The client has a history of disordered eating and avoids dairy products due to mild lactose intolerance.

The client reports occasional cravings for spicy food but denies eating anything unusual or non-food related.

The client reports eating starch and dirt regularly for the past month and states the cravings are difficult to resist.

The client reports that she dislikes vegetables and prefers high-carbohydrate foods during pregnancy.