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Reproduction Key Information > Nutrition > Flashcards

Nutrition Flashcards

1
Q

should you try lose weight during pregnancy?

A

no as ketosis is dangerous

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2
Q

calorie changes in pregnancy

A

3rd trimester needs an increase of only around 200kcal

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3
Q

what is folic acid important in?

A

DNA
RNA
amino acid synthesis

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4
Q

pre-conception dosing of folic acid

A

400mcg 3 months before conception til 13th week of pregnancy

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5
Q

when is 5mg of folic acid recommended?

A 
previous spina bifida
AEDs
coeliac disease
DM
BMI >30
sickle cell anaemia
thalassaemia
folic acid deficient
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6
Q

vitamin D consumption in dark skin

A

need more sun exposure

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7
Q

when should vitamin D be taken in pregnancy?

A

10mcg when pregnant and breastfeeding

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8
Q

what does low vitamin D risk?

A 
osteomalacia
pre-eclampsia
GDM
C/S
SGA
hypocalcaemia
asthma
Ricket's
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9
Q

food infection examples in pregnancy that are a risk?

A

listeriosis
salmonella
toxoplasmosis

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10
Q

risks with listeriosis

A

miscarriage
stillbirth
pre-term labour

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11
Q

foods associated with listeriosis

A

pasteurised milk
soft cheeses
pate
undercooked foods

farm animals

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12
Q

foods associated with salmonella

A

raw eggs
poultry
shellfish

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13
Q

what is toxoplasmosis?

A

parasite

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14
Q

what is toxoplasmosis associated with?

A 
wash hands before handling food
raw meats
soil
cat faeces
unpasteurised milk
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15
Q

foods to avoid in pregnancy

A

tuna (mercury)
liver (vitamin A)
vitamin supplements (vitamin A is neurotoxic)
fish oil supplements

one cup of caffeine a day

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16
Q

what is iron involved in?

A

enzyme processes

oxygen transport

17
Q

complications of iron deficiency

A 
tiredness
SOB
stillbirth
IUGR/LBW
placental abruption
PPH
neurodevelopment delay
18
Q

examples of iron rich foods

A 
green veg
meat
pulses
seeds
dried fruit
fish
brown rice
19
Q

management of iron deficiency

A

diet
iron tablets, liquid, IV
take with vitamin C
reduce caffeine and tea

20
Q

supplements to take when breastfeeding

A

vitamin D

calcium

21
Q

management of obesity in pregnancy

A 
counselling
folic acid
vitamin D
low dose aspirin
OGTT 24-28 weeks
USS growth 28 weeks
anaesthetic review 34 weeks
ranitidine regularly
equipment review
22
Q

post-partum management of obesity

A

sleep apnoea
VTE prophylaxis (fragmin 6 weeks)
weight management options

23
Q

sources of B12

A 
milk
cheese
eggs
cereal
meat + fish?
24
Q

what causes hyperemesis?

A

thiamine

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