Unit 29: Pregnancy, Breastfeeding, and Infancy Flashcards

1
Q

Low birth weight:

Preterm:

A

< 5.5 pounds
< 37 weeks of pregnancy
Infants weighing 7 3/4 - 8 3/4 are least likely to die in their first year

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2
Q

Critical time period:

A
  • Cannot correct for deficiencies

* Most intense during 1st trimester

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3
Q

Central nervous system and heart begin developing:

A
  • First, approx 2 weeks
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4
Q

Fetal Origins Hypothesis

A
  • Women exposed to famine during pregnancy were more like to have offspring which were diabetic and obese and have a lower birth weight
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5
Q

Low maternal energy intake in the last months of pregnancy:

A
  • Hinder growth of cells that produce insulin: diabetes
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6
Q

Weight gain:

Twins:

A
  • 35-45 pounds
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7
Q

Nutrition during pregnancy:

Calories

A

1st trimester: 0 kcal/d
2nd trimester: 340 kcal/day
3rd trimester: 450 kcal/day

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8
Q

Folate

A
  • Associated with fetal growth failure and malformations and neural tube defects
  • Neural tubes form 30 days after conception
  • 600 micrograms of folate is needed before and during pregnancy
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9
Q

Vitamin A

A
  • Too little associated with poor fetal growth
  • Too much fetal malformation
  • 5000 IU / day
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10
Q

Calcium

A
  • Fetus has as much as needed from mothers bones and diet
  • Mineralization of bones in fetus
  • Uptake higher during 3rd trimester
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11
Q

Vitamin D

A
  • Lack compromises fetal growth and development
  • Vegans more at risk
  • 5ug / 200 IU recommended
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12
Q

Iron

A
  • Increase hemoglobin production and storage by the infant

* 30 mg iron recommended

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13
Q

EPA and DHA

A
  • Fetal development

* 300 mg recommended

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14
Q

Fetal Alcohol Syndrome

A
  • Heavy drinking in the first half of pregnancy associated with malformed, small, mentally impaired children
  • Second half les malformed, still likely to be small and suffer metal abnormalities
  • Permanent condition
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15
Q

Nausea:

A
  • Get up slowly
  • Eat dry toast or crackers, chew gum or hard candies
  • Eat smaller more frequent meals
  • Avoid offensive odours
  • Don’t drink citrus juice, water, milk, coffee, or tea
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16
Q

Constipation and hemorrhoids:

A
  • Fiber, exercise, liquids
17
Q

Heartburn

A
  • Relax, eat slowly
  • eat smaller, frequent meals
  • Drink liquids between meals
  • Avoid spicy greasy food
  • Elevate head while sleeping
  • Wait and hour after eating before lying down
18
Q

High risk pregnancy factors:

A
  1. Maternal weight before pregnancy
  2. Maternal weight gain
  3. Maternal nutrition
  4. Socioeconomic status
  5. Lifestyle habits
  6. Age
  7. Previous pregnancies
  8. Maternal health
19
Q

Exercise during pregnancy

A
  • Improves fitness
  • Prevent gestational diabetes
  • Facilitates labour
  • Low impact diabetes
  • Don’t exercise with discomfort or while lying down after 1st trimester
20
Q

Infants double birthweight by:
Triple by:
Length increases by:

A

4 months
1 year
50% in first year

21
Q

Breast milk:

A

6% Protein
55% Fat
39% Carbs

22
Q

Introducing cow’s milk

A

12 months

<6 months associated with intestinal bleed and iron deficiency

23
Q

Introducing solid food

A

6 months
Iron fortified cereal firs, pureed vegetables and fruits next
progress to family foods after 12 months

24
Q

Maternal weight gain:
Underweight:
Normal:
Obese:

A

28-40 Ib
24-35 Ib
12-25 Ib