Maternal and child care Flashcards
Macrosomia
Large baby,
Women who are older than 35
Second trimester
340 calories screened for GDM Iron 30mg Folic acid 600mg (200 from food, 400 from Mv) Al Calcium 1300 younger then 18 1,000 over 18 71 g protein
Third trimeser
450 calories iron 30 mg Folic acid 600 mg Al Calcium 1300 younger then 18. 1,000 over 18 71gm protein
First trimester
Gain 1 pound per month
0-6 months lactation
300 calories
71 protein
calcium 1300 or 1000
6-12 months lactation
400 calories
71 protein
calcium 1300 or 1000
Diseases that need higher sodium intake
Pregnancy HTN
Cystic fibrosis
Adrenal cortex
Healthy weight pregnancy
bmi <18.5
BMI 16.6-24.9
BMI 25-29.9
BMI 30+
BMI< 18.5 should gain 28-40
BMI 16.6-24.9 25-35
BMI 25 to 29.9 should gain 15-25
BMI 30+ should gain 11-20
Failure to gain 4 pounds per month in last half of pregnancy risk factor is
smaller than normal babies
Infancy normal birth weight
2500-4000 grams
2.5kg-4kg
LBW
VLBW
ELBW
<2500 gm
<1500 gm
<1000 gm
who is at risk for iron def
infants and adolescent
Calories 0-6 months
108 cals/kg
Calories 7-12 months
98 cals/kg
Which has less protein
Human milk has less protein
it has lactalbumin
Human milk
20 calories per oz has antibodies 400 units Vit D a day .25 fluoride post 6 months if water supply is not enough 4-6 months add solids if baby can sit Iron fortified cereal
Formula
20 calories per oz
no antibodies
meets vit D needs
Flouride .25 if not in water
Lactose intolerant
Casein Hydrolysate
No whole milk, increases renal solute load
3 things non before 1
no cow’s milk
No honey
No juice
Hyperbilirubinemia
Color of baby
Why is happen
Intervention
yellow baby
Too much bilirubin
The placenta will remove bilirubin, the babies liver takes on the job and sometimes the liver does not do it.
intervention: light
9-12 feedings per day increase mobility, increase hydration
pku
Missing enzyme
No phenylalanine,
Avoid Aspartame
Avoid HIGH CHO foods
BMI for age (+2)
underweight
normal
overweight
obese
> 5% = underweight
5-84% normal
85%-94th= overweight
95 above = obese
Weight for length/ Stature
Short term
Detects change in nutritional status
distinguish between stunning and wasting
1-3 years old serving size
2-4tT
2-4oz
about 1/2 a cup
weight in babies
doubles in half
triples by first year
2 years: weight should quadrupled
Fishes high in mercury
KING
SHARK
SWORDFISH
TILEFISH
Pregnant adolescents need
iron, calcium and zinc
Things to avoid while pregnant
vitamin A- injury to spinal cord
alcohol
seafood high in mercury
weight for age
Short-term marker for growth
can be used for acute illness
Stature/ length for age
Long term
defines tallness or shortness
long term chronic malnutrition
