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44 Cards in this Set

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Foods that provide 500mg Folate

Chicken turkey goose

Foods that provide 200 mcg of Folate

Lamb, beef, veal, enriched rice, fortified cereal

Foods that provide 100 mcg of Folate

Legumes, asparagus, spinach, wheat germ

Foods that provide 50 mcg of Folate

Broccoli, beans, collard greens, okra, raw spinach, avocado, pasta

Foods that provide 20 mcg of Folate

Bread, egg, corn

Daily Folate intake before conception

0.4mg

Daily Folate intake during pregnancy

0.6mg

Normal BMI during pregnancy

18.5-24.9

Normal weight gain during pregnancy

25-35lbs

Additional calories per day for ewch trimester

1st : none


2nd : 340 kcal


3rd : 462 kcal

Omega-3 fatty acids

Essential for brain and neurological development; reduces preterm labor

First trimester weight gain

2.2 to 4.4lbs

Second and third trimester weight gain

1lb per week normal weight


1.1lb underweight


0.7lb overweight


0.4lb obese

Excessive weight gain leads to

HTN, geststional diabetes, heart disease

Protein is needed for

Tissue growth and formation of amniotic fluid

Calcium sources not from milk

Fish, beans and legumes, greens, baked products, orange juice, cheese sauce

Iron

18mg/day non preg 27/day preg


Allows transfer of adequate iron to fetus and permit expansion of the maternal red blood cell mass. Prevents preterm birth

Magnesium

400 mg

Sodium

1.5g/day

Zinc

11mg/day


Deficiency is associated with CNS malformations

Why you supplement with zinc

Because high iron and folic acid causes deficiency

Fat Soluble vitamins needed during pregnancy

ADEK

Water- soluble vitamins

Folic acid (600mcg), vitamin C (85mg), B6 (1.9mg), B12 (2.6)

Caffeine during pregnancy

Less than 200mg per day, can cause IUGR

Artificial sweeteners during pregnancy

They contain phenylalanine contraindicated in people with PKU

Pica issues

Iron deficiency


Gestational diabetes


Cause by drive to eat missing nutrients

Weight gain for adolescent pregnancy

Weight goal should be upper end of BMI range

2 factors to consider prior to exercise

Drink fluid before, during, and after exercise to prevent dehydration


Calorie intake increases

Registered dietitian is needed for what population

Those with HTN, DM2, PKU, Renal disease

Hemoglobin levels during pregnancy

1st & 3rd trimester: 11


2nd: 10.5

Hemocrit levels during pregnancy

1st & 3rd trimester: 33%


2nd: 32%

Poor nutrition: General appearance

Listless, apathetic, cachectic, easily fatigued, looks tired

Poor nutrition: Muscles

Flaccid, poor tone, tender, "wasted" appearance

Poor nutrition: Gastrointestinal

1. Anorexia


2. Indigestion


3. constipation or diarrhea


4. Liver or spleen enlargement

Poor nutrition: Cardiovascular

1. Rapid HR


2. Enlarged heart


3. Abnormal rhythm


4. Elevated BP

Poor nutrition: Hair

1. Stringy


2. Dull


3. Brittle


4. Dry


5. Thin


6. Depigmented


7. Easily plucked

Poor nutrition: skin

1. Rough & dry


2. Scaly


3. Pale


4. Easily bruised


5. Petechiae

Poor nutrition: Face & neck

1. Skin dark over cheeks


2. Thyroid enlarged


3. Lip swollen


4. Angular lesions or fissures at corners of mouth

Poor nutrition: oral cavity

1. Gums spongy


2. Bleed easily


3. Tongue swollen scarlet

Poor nutrition: eyes

1. Membranes Pale


2. Redness of membrane

Instruction for Iron supplementation

1. Take on empty stomach


2. Can cause black stool


3. Take @ bedtime for abdominal discomfort


4. Do not double dose

Hyperemesis gravidarum

Causes dehydration, electrolyte imbalance, weight loss


Treated with fluids, TPN

Appropriate weight loss goals

Nonlactating: 0.5 to 0.9kg per week


Lactating women: 1 kg per week

Amount of calories added for lactating women

330 kcal/day first 6 months then 450 to 500 kcal/day