Week 3: Nutrition During Pregnancy Flashcards

1
Q

Define Fallopian tubes

A

narrow ducts leading from ovaries to uterus

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2
Q

define amniotic sac

A

membrane that surrounds fetus containing amniotic fluid

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3
Q

define placenta

A

organ produced during pregnancy from maternal and embryotic tissue
- secretes hormones, transfers oxygen and nutrients from
maternal to fetal blood, and removes waste

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4
Q

Define gestation

A

time between conception and birth,
approximately 40 weeks in humans

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5
Q

Define preterm/premature

A

infant born before 37 weeks of gestation

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6
Q

Define very low birth weight

A

less than 3.3lbs (1.5kg)

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7
Q

Define small- for- gestation- age

A

less than 5.5lbs (2.5kg)

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8
Q

What is the recommended weight gain for pregnancy for women with a normal weight/BMI

A

23-35lbs recommended total gain

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9
Q

What is the recommended weight gain for pregnancy for women who are underweight?

A

28-40lbs (13-18kg) recommended total gain

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10
Q

What is a woman’s pre-pregnancy weight a good predictor of?

A

her weight gain during pregnancy

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11
Q

higher than recommended weight gain is more common among women…?

A
  • having their first baby
    -women who are less educated
  • women within Aboriginal population
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12
Q

lower weight gain is observed in women…?

A

with normal or low pre-pregnancy body weight

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13
Q

Who should be physically active during pregnancy?

A

all women without contraindication should be physically active throughout pregnancy

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14
Q

What physical activity is recommended during pregnancy?

A

150 mins of moderate intensity p.a. each week- achieve clinically meaningful reductions in pregnancy complications
- being active everyday is recommended
- aerobic and resistance training
-pelvic floor muscle training

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15
Q

What are some safety considerations during exercise when pregnant?

A

-avoid exercise in humid/warm environments (especially in first trimester)
-avoid isometric exercises/straining while holding breath
- avoid exercises lying on your back past fourth month of preg.
-avoid activities that involve danger of falling/physical contact
-not good time to train for athletic competition

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16
Q

What are the uncomfortable side effects of physio change during pregnancy?

A

-edema
-morning sickness
-heart burn
-constipation/hemorrhoids

17
Q

What are some complications of pregnancy?

A
  • pregnancy induced hypertension (preeclampsia/eclampsia)
  • gestational diabetes mellitus
18
Q

What is a nutritional need during pregnancy?

A

Folic acid (400ug) -> prevent neural tube defects (NTDs) by 46%
- extra serving of milk
-additional lean meat (vit. B12, B6, iron, zinc)
-additional grains, veggies, fruits (folate, fiber, vit.C, protein)

19
Q

What supplements are recommended during pregnancy?

A

-folic acid (before and during)
-
iron (second and third trimester)
-multivitamin & mineral supplement (for ppl with limited food choices)

20
Q

What foods should be eaten during pregnancy (generally)?

A
  • dark green/orange veggies
  • whole grains
    -dairy/fortified alternatives
    -protein foods
    -cooked fished- low in mercury
21
Q

How much food should be eaten during pregnancy (Generally)?

A

more kcals needed during second and third trimester
- add extra healthy snack/food to meal

22
Q

What foods should be avoided during pregnancy?

A

-raw fish
-undercooked meat
-hot dogs/deli meats
-raw/lightly cooked eggs
-unpasteurized milk products/juices
-raw sprouts
-alcohol
Food safety very important

23
Q

When did folate become mandatory in America?

A

1998 for folate fortified foods

24
Q

What are maternal factors that increase pregnancy risks?

A

-malnutrition (decrease ability to conceive)
-prepreg. BMI <19.8 (anemia) or >26 (diabetes, c-section)
-phenylketonuria
-hypertension
-diabetes

25
Q

What is the leading cause of preventable birth defects?

A

drinking alcohol

26
Q

What is the Canadian Prenatal Nutrition Program (CPNP)?

A

launched in 1995; support and improve maternal health and nutrition during preg.- reduce unhealthy birth weights & encourage breastfeeding
- series of individual projects, meet local needs

27
Q

we can reach mothers at risk through?

A
  • drop in sessions
  • craft/cooking circles
  • collective kitchen
    -home visits
    -one on one support
28
Q

How to help mothers at risk?

A
  • education about child development
    -opportunities to cook and share meal
  • opport. to meet and make friends
  • prenatal vitamins, food/coupons
  • breastfeeding education and support
  • nutrition/prenatal health counselling
  • support from dietitian, nurses, family workers, peers
  • referral to agencies and services
29
Q

What is the highest group of women to accessing the CPNP?

A

household income less than $1600 monthly