Conception Flashcards

1
Q

common disorders during pregnancy? x 2

A

Gestational diabetes
Preeclampsia

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2
Q

The body need more ? during pregnancy? x 4
why?

A

folic acid - prevent Neural tube defects
iron - volume of blood increases in pregnancy made by iron
vitamin D - absorb calcium helps to develop baby’s bones
iodine - fetal thyroid hormones that regulate the development
of the brain and nervous system

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3
Q

folic acid function?
Planning for pregnancy to take folic acid to prevent?
prior?
why?

A

folic acid is required for cell division
400mcg daily to prevent Neural tube defects
3 months before pregnancy and during the first 12 weeks of pregnancy
first 28 days for the development of
the neural tube which becomes the brain and
spinal cord
take in first month of pregnancy will not prevent neural tube defects must before pregnancy

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4
Q

Folate acid food sources?
DRI?

A

DRI=600 ug pregnancy or 500 ug lactating
female, 400 ug for non-pregnant woman
Beans, peas, orange juice, green leafy
vegetables and fortified cereals contain added vitamins and minerals

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5
Q

what is NTD?

A

neural tube defects
脊柱裂(spina bifida)
无脑畸形(anencephaly)
有腦膨出(encephalocele)

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6
Q

A full term pregnancy last?
1st trimester : Embryonic stage胚胎: ~ day 15 to the 8th week
2nd trimester
3rd trimester
After the 8th week, the developing baby is called?

A

38 – 42 weeks
1st trimester: conception to 13th week
2nd trimester: 14th to 27th week
3rd trimester: 28th to 40th week
After the 8th week, the developing baby is called
a fetus胎兒.

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7
Q

Embryos are extremely vulnerable 脆弱 to teratogens during ? trimester?
Low-birth weight?
Preterm babies?

A

1st trimester conception to 13th week
less than 5.5 pounds
born before 38 weeks

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8
Q

Recommended Weight Gain in each trimester?

A

1st 1-3 M gain 1-2kg
2nd 4-6M gain 4-5kg
3rd 7-10M gain 4-5kg

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9
Q

Pregnancy increased energy ? kcal/day
fluid increases?

A

increase 300 kcal/day
increases to 3 liters per day

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10
Q

Pregnant women recommendation increase? x 3
? /day ?

A

Folate – increases to 600 mcg/day
Iron – increases to 27 mg/day
Calcium – 1200 mg/day

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11
Q

Iron needs to increase during pregnancy?
different between Heme and Non-heme?

A

18 to 27mg/day
Heme iron is supplied by
animal foods more absorbable than nonheme iron
形式為二價鐵,容易被人體腸道吸收利用
Non-heme plant-based foods contain only non-heme iron
形式為三價鐵
素食者會比葷食者需要攝取更多的鐵質。

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12
Q

which vitamin induces iron absorption?
which mineral inhibits iron absorption?

A

Vit C
鈣質會抑制身體對鐵的吸收
Should be taken several hours apart

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13
Q

suggest supplement calcium for pregnancy?
from when?
why?

A

1.5-2 g / d
form 20 weeks(4.5M) to the end of pregnancy
Baby needs calcium to build strong bones and teeth and to develop a healthy heart, nerves, and muscles.

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14
Q

calcium food sources?

A

Milk, yogurt (8 oz), cheese (1
oz) ~ 300 mg calcium
* Orange juice- fortified (1 cup =
300 mg)
* Broccoli, kale (1 cup cooked =
90 mg)
* Bok choy, mustard green (1
cup cooked =180 mg)
* Tofu (made with calcium
citrate - (½ cup =260 mg)
* Canned salmon (3 oz = 180 mg)

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15
Q

the most iron food?

A

lean red meat
chicken
egg
cereals

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16
Q

pregnant, nursing mothers
and age under 12 should limit total seafood intake? per week
why?

A

seafood intake to no more than 12 oz per week
omega-3 fatty acids improved infant health
outcomes, such as visual acuity and cognitive development

17
Q

Gestational diabetes? why
Risk of ? baby
Uncontrolled lead to?
how to cure?

A

insufficient insulin or insulin resistance that increases glucose levels during pregnancy.

Risk of delivering a large baby
Uncontrolled blood glucose levels may lead to
preeclampsia
The condition resolves after birth occurs

18
Q

Preeclampsia?
who higher risk ? x 3
if left untreated?
how cure?

A

pregnancy-induced hypertension.
higher risk: Mothers with diabetes, hypertension or kidney
disease before pregnancy
* Can be fatal if left untreated
* Treatment focuses on managing BP and bed rest
* The only cure is childbirth

19
Q

A complete vegetarian (no egg ) must carefully
watch her intake of? x 6

A

vitamin D
calcium
vitamin B6-紅血球sharp/ make niacin and serotonin /
神經系統的能量供應 / 胺基酸正常代謝
iron
vitamin B12
zinc - 傷口癒合/細胞分裂與生長/DNA及蛋白質的合成/胰島素組成

20
Q

fetal alcohol syndrome FASD 胎兒酒精譜系障礙?
what will happen? x 2

A

mother high quantities of alcohol.
*Malformations of face, limbs, heart
*Many developmental disabilities

21
Q

Colostrum?
Milk production requires ? kcal/day
should consume an extra ? kcal/day

A

the first milk produced;
rich in proteins, antibodies, vitamins, and minerals.
* Milk production requires 700 – 800 kcal/day
should consume an extra 500kcal/day
lose weight(1 – 4 pounds per month).