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.  Fetal well-being.  Prevention and treatment of high risk pregnancies. Nutrition in pregnancy  Plays significant role in the outcome of the pregnancy.  Integral part of nursing care of prep regnant and pregnant clients.

Factors affecting prenatal nutrition  Nutritional status prior to pregnancy  Maternal age  Maternal parity  Substance use  Client’s education  Other .

ethnical. or  Substance use religious influences  Psychosocial factors  Vegetarianism  Socioeconomic factors  Eating disorders  Education  Lactose intolerance  Psychological factors . Special considerations affecting nutrition  Pica  Cultural.

Preconception care  Health promotion  Nutrition-healthy diet inclucing folic acid.  Adequate fluid intake  Exercise  Rest  Avoidance of substances abuse .

8-11.4 15-25 BMI 25-29.5 Normal Weight 11.8 <15 BMI > 30.9 Obese 6.9 25-35 BMI 19-24.7-18.2 28-40 BMI < 18.0 .Recommended Weight Gain BMI Weight (kg) Weight Gain (kg) Weight Gain (lbs) Height (m2) Underweight 12.4-15.9 Overweight 6.

Rate of Weight Gain  Pattern of weight gain in pregnancy as important as total weight gain.  Pregnancy is an anabolic state.  Pre-term birth doubles when 3rd trimester weight gain is low or inadequate.  Deviations from expected patterns of weight gain are signals for intervention. . resulting in increased energy (300 kcal/day) and nutrient needs.