Nutrition During Pregnancy and Lactation for Concepts Flashcards

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0
Q

When should a person begin to consider diet for the best pregnancy?

A

Preconceptions

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1
Q

When are nutrient needs the highest?

A

During lactation

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2
Q

What is insufficient folic acid related to?

A

Spina bifida

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3
Q

What can nutritional deficiencies in early pregnancy cause?

A

Problems with cellular division and permanent fetal damage

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4
Q

What can nutritional deficiencies later in pregnancy cause?

A

Problems with birthweight

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5
Q

What is the normal kcal/day for an average woman?

A

2100-2400 kcal/day

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6
Q

How much should a woman increase her kcals in the first trimester?

A

None

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7
Q

How much should a woman increase her kcals in the second and third trimesters?

A

300 kcal/day

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8
Q

What should 50% of the increased kcals come from?

A

Carbohydrates

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9
Q

What hormone alters carb metabolism?

A

HPL

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10
Q

How much should a woman increase her protein intake?

A

14 grams

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11
Q

What is a good source of protein?

A

Milk and meat

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12
Q

What do you need to increase along with your protein?

A

Water intake

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13
Q

How much folacin does a pregnant woman need?

A

400 mcg/day

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14
Q

What is a risk with vitamin deficiencies?

A

Neural tube defects

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15
Q

For a healthy placenta what do you need?

A

Folacin

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16
Q

What is a good source of vitamins?

A

Green veggies, liver, peanuts, and whole grains

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17
Q

What is excessive vitamin A intake associated with?

A

Fetal anomalies

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18
Q

What builds the skeleton for the fetus?

A

Minerals

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19
Q

What happens to the absorption rate of calcium?

A

It doubles

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20
Q

How much calcium and phosphorous does a pregnant woman need?

A

1200 mg/day a piece

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21
Q

How much iron does a nonpregnant and pregnant woman need?

A

Nonpregnant: 18 mg/day Pregnant: 30-60 mg/day

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22
Q

When do you begin to supplement iron?

A

12 weeks

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23
Q

What can an iron deficiency cause?

A

Fetal death, low birth weight, and prematurity

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24
What does vitamin D do?
Absorbs calcium
25
Why do you take iron with food?
To reduce nausea
26
What mind of beverage do you take iron with to promote absorption?
An acidic one
27
What should you not take iron with?
Tea
28
What mineral promotes DNA and RNA synthesis?
Zinc
29
What helps with fetal teeth and skeletal development?
Fluoride
30
What is weight gain during pregnancy prescribed by?
BMI
31
What is a healthy BMI?
18.5-23.9
32
How much weight is gained from the infant?
7.5 lbs
33
How much weight is gained from the placenta?
1lb
34
How much weight is gained from blood?
4 lbs
35
How much weight is gained from the uterus?
2.5 lbs
36
How much weight is gained from the breasts?
3 lbs
37
How much weight is gained from amniotic fluid?
2 lbs
38
How much weight should be gained from mom's fat?
2-8 lbs
39
What is the total weight gain during a normal pregnancy?
22-28 lbs
40
Relationship of weight to height
BMI
41
Weight gain with BMI <19.8 (underweight)
28-40 lbs
42
Weight gain with BMI 19.8-26.0 (normal)
25-35 lbs
43
Weight gain with BMI 26.1-29.0 (overweight)
15-25 lbs
44
Weight gain with BMI >29.0 (obese)
<15 lbs
45
What is the weight gain in the first and second trimester from?
Mother's changes
46
What is the weight gain from in the third trimester?
Fetus
47
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
48
Why does weight gain >2 lbs a week cause concern?
Fluid retention
49
How much weight should be gained by 20 weeks gestation?
10 lbs
50
What percent of childbearing women are overweight?
54.5%
51
Eating nonfood substances
Pica
52
What should a woman do if she gets a leg cramp?
Stand up and dorsiflex the foot
53
Why is pregnancy common in pregnancy?
Decreased GI peristalsis
54
How much caffeine can be consumed a day by a pregnant woman?
200 mg/day
55
How many ounces of milk does a mother make each day?
23
56
How many kcals are in an ounce of milk?
23
57
How many kcals a day are needed just to produce milk?
640
58
How many more kcals should a mom consume when lactating?
500 for the first 6 months
59
Growth supplement for baby
Folacin
60
How much weight should the mother lose after initial weight loss?
No more than 1 pound a week
61
If mother is nutritionally deprived what happens to the milk?
The quantity is diminished
62
How much liquid should the mother drink a day when breastfeeding?
2 quarts
63
What impairs milk production and may make baby sleepy and a poor feeder?
Alcohol
64
What does the mother drink that may cause irritability in the infant?
Caffeine
65
What can the mother do that reduces the volume of milk?
Smoking