Nutrition During Pregnancy

Sandra walked into the nutritionist's office and sat down. She looked around at the posters
hanging on the wall. The door opened.

"Greetings! You must be Sandra. I'm Marie," the nutritionist said as she opened the door.
"What can I do for you today?"

"I'm here because I'm expecting a baby in June. I want to eat the right foods and gain just the
right amount of weight, not too much and not too little. When I started asking my doctor
many food-related questions, he gave me your name. So here I am!" said Sandra.

"Well, you've come to the right place!" Marie responded confidently. "Let's start with some
basics. Eating healthy meals and snacks are an important priority. It affects the health of that
little baby growing inside of you. Did your doctor prescribe any vitamins?"

"Yes," said Sandra. "He prescribed prenatal vitamins."

"Perfect," said Marie. "Your body needs certain vitamins, minerals, and nutrients. Taking that
vitamin pill each day is important, especially because of the folic acid it contains. Folic acid
has been proven to prevent certain birth defects of the brain, birth defects of the spine, cleft
lip, and congenital heart disease."

"OK," Sandra said. "I'll remember to take it each day then."

"Now," Marie continued, "in terms of calories and weight gain, I recommend approximately
2,500 to 2,700 calories a day for expectant mothers. Of course, these calories should be from
healthy foods. For most pregnant women, this is only about 300 extra calories a day. You
need additional nutrients because of the growing baby, but I don't think you need to eat for
two as the old adage says."

Marie went on, "Every mom-to-be seems fixated on weight gain. A woman who is
underweight usually needs to gain 28 to 40 pounds during pregnancy. A woman who is
overweight usually needs to gain 15 to 25 pounds. You seem right about average weight, so I
would recommend a weight gain of 25 to 35 pounds to be quite healthy. The weight gain
should be gradual. Most of the weight gain will be in the last trimester."

"Sandra, now is not the time to go on a low-calorie diet. If you don't eat enough, your body
will produce ketones. Ketones indicate the body is in starvation mode. The presence of
ketones in the body over an extended period of time can cause mental retardation in the
baby," Marie said. "Do you have any questions so far?"

Questions

1. Who is the client?

The client is Sandra

2. Who is the nutritionist?

 the nutritionist is Marie

3. When will the client deliver a baby?

Client deliver a baby in june

4. Why does a pregnant mother need to eat healthy meals and snacks?

Because eating healthy meals and snacks are an important priority. It affects the
health of that little baby growing inside of you.

5. What is the prescription above?

Prenatal vitamins

6. What is the most important in the prescription?

the pill, which contain folic acid

7. Why is it so?

Because Folic acid has been proven to prevent certain birth defects of the brain, birth
defects of the spine, cleft lip, and congenital heart disease

8. What will the client take each day?

the pill

9. How much calories does a pregnant woman need a day?

approximately 2,500 to 2,700 calories a day

10. “…..for two as the old adage says." What does “two” refer to?

Mom and the baby

11. What is the difference of weight gain between underweight and overweight of
pregnant woman?

A woman who is underweight usually needs to gain 28 to 40 pounds during

pregnancy. A woman who is overweight usually needs to gain 15 to 25 pounds.

12. What is weight gain recommended for the client?

weight gain of 25 to 35 pounds

13. Should it be fast?

No it shouldn't, The weight gain should be gradual.

14. When is it recommended?

in the last trimester

15. When will ketones appear in pregnant mothers?

if client go on a low-calorie diet or don't eat enough

16. What does ketones indicate?

Ketones indicate the body is in starvation mode

17. What risks can ketones bring about?

presence of ketones in the body over an extended period of time can cause mental
retardation in the baby

18. Where does the conversation probably happen?

In the nutritionist's office