Maternal Fetal Nutrition

Question 1

nutritional status is directly related to the growth and development of a fetus

Answer 1

maternal nutrition

Question 2

what is total weight gain in pregnant women?

Answer 2

25-35 lbs

Question 3

What is the weight gain in the 1st trimester?

Answer 3

2-4 lbs

Question 4

what is the weight gain in the 2nd and 3rd trimester?

Answer 4

1 lb/week

Question 5

Underweight pregnant women are at risk for?

Answer 5

preterm labor, low birth weight (LBW), intrauterine growth restriction (LUGR)

Question 6

Overweight pregnant women are at risk for?

Answer 6

Maclosomia & cephalopelvic disproportion (CPD)
Operative vagina birth and emergency C-section
Postpartum hemorrhage
Infection (wound, genital tract, urinary tract)
Birth Trauma
Late fetal death
Preeclampsia
Gestational DM

Question 7

What are the weight gain guidelines?

Answer 7

Underweight:
-BMI: = <18
-Total LBS gain range: 28-40 LBS
-2nd/3rd trimester LBS gain: 1-1.3

Normal Weight:
-BMI: 18.5-24.9
-Total LBS gain range: 25-35 LBS
-2nd/3rd trimester LBS gain: 0.8-1

Overweight:
-BMI: 25-29.9
-Total LBS gain range: 15-25 LBS
-2nd/3rd trimester LBS gain: 0.5-0.7

Obese:
-BMI: >30
-Total LBS gain range: 11-20 LBS
-2nd/3rd trimester LBS gain: 0.4-0.6

Question 8

Folic Acid

Answer 8

Is needed to meet demands of increase blood supply and fetus.

Essential for formation of RBC’s cell duplication and placental and fetal growth. Maternal needs 2x during pregnancy r/t need for more erythrocytes, plus placental and fetal growth. Caused by nutritional deficiencies (folate), hemolytic anemias, Mal-absorption, and specific medication.

Question 9

Craving a non-nutrient substance

Answer 9

PICA

Question 10

What are examples of PICA cravings?

Answer 10

dirt/soil
ice
clay
laundry starch
corn starch
ashes
coffee grounds
paint chips
plaster