Professional Documents
Culture Documents
Copyright 2014, 2010, 2006, 2002, 1998, 1994, by Saunders, an imprint of Elsevier Inc.
Copyright 2014, 2010, 2006, 2002, 1998, 1994, by Saunders, an imprint of Elsevier Inc.
Copyright 2014, 2010, 2006, 2002, 1998, 1994, by Saunders, an imprint of Elsevier Inc.
Copyright 2014, 2010, 2006, 2002, 1998, 1994, by Saunders, an imprint of Elsevier Inc.
Copyright 2014, 2010, 2006, 2002, 1998, 1994, by Saunders, an imprint of Elsevier Inc.
Case Study
You are the nurse working with prenatal patients at
the health department. You meet Ms. Brooks, a 29year-old G1P1 at 28 weeks of gestation. Ms.
Brooks began prenatal care at 12 weeks. Her fetal
screening ultrasound at 18 weeks revealed normal
anatomy, and all of her prenatal labs have been
normal or negative. The pregnancy was not
planned, but she and her partner are delighted
and plan to be married in 2 weeks.
Copyright 2014, 2010, 2006, 2002, 1998, 1994, by Saunders, an imprint of Elsevier Inc.
Copyright 2014, 2010, 2006, 2002, 1998, 1994, by Saunders, an imprint of Elsevier Inc.
Nutritional Requirements
Copyright 2014, 2010, 2006, 2002, 1998, 1994, by Saunders, an imprint of Elsevier Inc.
Fats
Calories
Simple or complex
Nutrient density
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Copyright 2014, 2010, 2006, 2002, 1998, 1994, by Saunders, an imprint of Elsevier Inc.
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Fat-soluble
Water-soluble
A, D, E, and K
Stored in liver
Excessive intake of these vitamins can be toxic.
B6, B12, and C; folic acid; thiamin; riboflavin; and
niacin
Should be included in the daily diet
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Iron
Important in the formation of hemoglobin
During pregnancy approximately 1000 mg of absorbed iron
above maternal iron stores are needed.
Calcium
Important for mineralization of fetal bones and teeth
Calcium absorption and retention increase during
pregnancy.
Sodium
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Copyright 2014, 2010, 2006, 2002, 1998, 1994, by Saunders, an imprint of Elsevier Inc.
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Nutritional Requirements:
Nutritional Supplementation (Cont.)
Copyright 2014, 2010, 2006, 2002, 1998, 1994, by Saunders, an imprint of Elsevier Inc.
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Copyright 2014, 2010, 2006, 2002, 1998, 1994, by Saunders, an imprint of Elsevier Inc.
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Whole grains
Vegetables and fruits
Dairy foods
Protein group
Other elements
Food precautions
Copyright 2014, 2010, 2006, 2002, 1998, 1994, by Saunders, an imprint of Elsevier Inc.
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Age
Nutritional knowledge
Exercise
Culture
Copyright 2014, 2010, 2006, 2002, 1998, 1994, by Saunders, an imprint of Elsevier Inc.
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Socioeconomic status
Vegetarianism
Poverty
Food supplement programs; www.fns.usda.gov/wic
Meeting the nutritional requirements for the
pregnant vegetarian
Lactose intolerance
Nausea and vomiting of pregnancy
Anemia
Copyright 2014, 2010, 2006, 2002, 1998, 1994, by Saunders, an imprint of Elsevier Inc.
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Pica
Copyright 2014, 2010, 2006, 2002, 1998, 1994, by Saunders, an imprint of Elsevier Inc.
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Substance abuse
Adolescence
Smoking
Caffeine
Alcohol
Drugs
Nutrient needs
Common problems
Teaching the adolescent
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Lactating mother
Energy
First 6 months of lactation, the estimated energy requirement
(EER) is 330 additional calories.
Second 6 months require 400 additional calories.
Protein
Fats
Vitamins and minerals
Copyright 2014, 2010, 2006, 2002, 1998, 1994, by Saunders, an imprint of Elsevier Inc.
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Specific concerns
Dieting
Adolescence
Vegan diet
Avoidance of dairy products
Inadequate diet
Alcohol
Caffeine
Fluids
Food to avoid
Copyright 2014, 2010, 2006, 2002, 1998, 1994, by Saunders, an imprint of Elsevier Inc.
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Nonlactating mother
Copyright 2014, 2010, 2006, 2002, 1998, 1994, by Saunders, an imprint of Elsevier Inc.
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Assessment
Interview
Diet history
Physical assessment
Laboratory tests
Ongoing nutritional status
Analysis
Planning
Copyright 2014, 2010, 2006, 2002, 1998, 1994, by Saunders, an imprint of Elsevier Inc.
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Intervention
Identifying problems
Explaining nutrient needs
Providing reinforcement
Evaluating weight gain
Encouraging supplement intake
Making referrals
Evaluation
Copyright 2014, 2010, 2006, 2002, 1998, 1994, by Saunders, an imprint of Elsevier Inc.
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Question
A pregnant woman with a BMI of 22 asks the
nurse how she should be gaining weight during
pregnancy. The nurse's best response would be
to tell the woman that she should gain
approximately:
a.1 pound per week throughout the pregnancy.
b.3.5 pounds during the first trimester, then 1 pound each
week until the end of the pregnancy.
c.1 pound a week during the first two trimesters, then 2
pounds per week during the third trimester.
d.A total of 25 to 35 pounds.
Copyright 2014, 2010, 2006, 2002, 1998, 1994, by Saunders, an imprint of Elsevier Inc.
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