Nutrition During Pregnancy and Lactation for Concepts Flashcards
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When should a person begin to consider diet for the best pregnancy?
Preconceptions
When are nutrient needs the highest?
During lactation
What is insufficient folic acid related to?
Spina bifida
What can nutritional deficiencies in early pregnancy cause?
Problems with cellular division and permanent fetal damage
What can nutritional deficiencies later in pregnancy cause?
Problems with birthweight
What is the normal kcal/day for an average woman?
2100-2400 kcal/day
How much should a woman increase her kcals in the first trimester?
None
How much should a woman increase her kcals in the second and third trimesters?
300 kcal/day
What should 50% of the increased kcals come from?
Carbohydrates
What hormone alters carb metabolism?
HPL
How much should a woman increase her protein intake?
14 grams
What is a good source of protein?
Milk and meat
What do you need to increase along with your protein?
Water intake
How much folacin does a pregnant woman need?
400 mcg/day
What is a risk with vitamin deficiencies?
Neural tube defects
For a healthy placenta what do you need?
Folacin
What is a good source of vitamins?
Green veggies, liver, peanuts, and whole grains
What is excessive vitamin A intake associated with?
Fetal anomalies
What builds the skeleton for the fetus?
Minerals
What happens to the absorption rate of calcium?
It doubles
How much calcium and phosphorous does a pregnant woman need?
1200 mg/day a piece
How much iron does a nonpregnant and pregnant woman need?
Nonpregnant: 18 mg/day Pregnant: 30-60 mg/day
When do you begin to supplement iron?
12 weeks
What can an iron deficiency cause?
Fetal death, low birth weight, and prematurity
What does vitamin D do?
Absorbs calcium
Why do you take iron with food?
To reduce nausea
What mind of beverage do you take iron with to promote absorption?
An acidic one
What should you not take iron with?
Tea
What mineral promotes DNA and RNA synthesis?
Zinc
What helps with fetal teeth and skeletal development?
Fluoride
What is weight gain during pregnancy prescribed by?
BMI
What is a healthy BMI?
18.5-23.9
How much weight is gained from the infant?
7.5 lbs
How much weight is gained from the placenta?
1lb
How much weight is gained from blood?
4 lbs
How much weight is gained from the uterus?
2.5 lbs
How much weight is gained from the breasts?
3 lbs
How much weight is gained from amniotic fluid?
2 lbs
How much weight should be gained from mom’s fat?
2-8 lbs
What is the total weight gain during a normal pregnancy?
22-28 lbs
Relationship of weight to height
BMI
Weight gain with BMI <19.8 (underweight)
28-40 lbs
Weight gain with BMI 19.8-26.0 (normal)
25-35 lbs
Weight gain with BMI 26.1-29.0 (overweight)
15-25 lbs
Weight gain with BMI >29.0 (obese)
<15 lbs
What is the weight gain in the first and second trimester from?
Mother’s changes
What is the weight gain from in the third trimester?
Fetus
What is the classic pattern of weight gain?
First trimester 2-4 lbs and then slightly less than a pound a week for the rest of the pregnancy
Why does weight gain >2 lbs a week cause concern?
Fluid retention
How much weight should be gained by 20 weeks gestation?
10 lbs
What percent of childbearing women are overweight?
54.5%
Eating nonfood substances
Pica
What should a woman do if she gets a leg cramp?
Stand up and dorsiflex the foot
Why is pregnancy common in pregnancy?
Decreased GI peristalsis
How much caffeine can be consumed a day by a pregnant woman?
200 mg/day
How many ounces of milk does a mother make each day?
23
How many kcals are in an ounce of milk?
23
How many kcals a day are needed just to produce milk?
640
How many more kcals should a mom consume when lactating?
500 for the first 6 months
Growth supplement for baby
Folacin
How much weight should the mother lose after initial weight loss?
No more than 1 pound a week
If mother is nutritionally deprived what happens to the milk?
The quantity is diminished
How much liquid should the mother drink a day when breastfeeding?
2 quarts
What impairs milk production and may make baby sleepy and a poor feeder?
Alcohol
What does the mother drink that may cause irritability in the infant?
Caffeine
What can the mother do that reduces the volume of milk?
Smoking