Nutrition for Special Populations Flashcards

(33 cards)

1
Q

What are the rates of weight gain for pregnant women?

A

Underweight- 1-1.3lb per week
Normal- 0.8-1lb per week
Overweight- 0.6lb per week
Obese- .5lb per week

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2
Q

What are the risks of obesity and pregnancy?

A

Children of overweight/obese women have have 2x higher risk of being obese at age 2 and an increased risk of developing gestational diabetes

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3
Q

What causes morning sickness?

A

Thought to be related to hormonal changes of pregnancy

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4
Q

What causes heartburn for pregnant women?

A

Effect of pressure of the enlarged uterus on the intestines and stomach

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5
Q

What are the fetal affects of gestational diabetes?

A
  1. High blood sugar in mother provides extra energy for the fetus
  2. Higher weight baby
  3. Increases risk for complications= baby’s risk of obesity
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6
Q

What is pica?

A

compulsive ingestion of unsuitable substances that have little or no nutritional value

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7
Q

What are the energy needs throughout pregnancy?

A
  1. first trimester- no increase
  2. Second trimester- additional 340 calories/day
  3. Third trimester- additional 112 calories/day
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8
Q

What amount of protein should a pregnant woman have?

A

25g/day

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9
Q

What foods should a pregnant woman avoid?

A
  1. caffeine
  2. Omit alcohol
  3. Avoid food contaminant- methyl mercury
  4. Listeria monocytogens- raw milk, hotdogs
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10
Q

What changes in the female body cause lactation?

A
  • After birth rapid drop in circulating estrogen and progesterone
  • Rapid increase in prolactin secretion
  • Suckling impulses sent to the hypothalamus
  • triggers release of prolactin and oxytocin
  • milk accumulates
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11
Q

What are the nutritional needs for lactation?

A
  • first 6 months additional 330 calories

- second 6 months additional 400 calories

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12
Q

What are the types of breast milk produced after birth?

A
  1. colostrum
  2. Transitional milk
  3. Mature milk
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13
Q

Colostrum milk

A

First fluid produced after delivery for 4-7 days

High in water, protein, antibodies, minerals, and vitamins

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14
Q

Transitional milk

A

Lasts up to 14 days

Addition of fat and lactose in larger amounts

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15
Q

Mature milk

A

Produced after the first 2 weeks

Thinner but produced in same volume

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16
Q

What is break milk composed of?

A
  1. 50% fat
  2. 42% carbs
  3. 7% protein
  4. The rest is vitamins and minerals
17
Q

What is the first solid food recommended for infants?

A

iron-fortified infant rice cereal

Introduce vegetables before fruits

18
Q

When are eating habits formed?

A

First 2 years of life

19
Q

What do girls need more of as they enter puberty?

A

Iron and protein

20
Q

What do boys need more of as they enter puberty?

A

Protein and calorie requirements increase

21
Q

What are the nutritional percentages that children 1-3 years old need?

A

Carbs: 45-65%
Fat: 30-40%
Protein: 5-20%

22
Q

What are the nutritional percentages that children 4-18 years old need?

A

Carbs: 45-65%
Fat: 25-35%
Protein: 10-30%

23
Q

What is the protein daily recommended intake from 1-18 years old?

A

1-3 years: 1.1g/kg/day= 13g/day
4-8 years: 0.95 g/kg/day = 19g/day
9-13 years: 0.95g/kg/day = 34g/day
14-18 years: .85g/kg/day = 46-52g/day

24
Q

What do 40% of older adults have nutritional problems with?

A

Protein energy malnutrition, obesity, or vitamin and mineral deficiencies

25
What happens to metabolism with age?
Decreased BMR due to a decreased lean body mass with age
26
What can limit metabolic changes?
moderate exercise
27
What are 5 nutritional risk factors for malnutrition in the elderly?
1. acute and chronic diseases 2. Dental problems 3. Isolation/depression 4. Alcohol abuse 5. Financial constraints
28
What do medications do to nutritional status?
1. alter food intake, absorption, or metabolism 2. Decrease appetite 3. Cause GI disturbances
29
What causes vitamin D deficiency and osteoporosis in older individuals?
1. Inadequate sun exposure 2. Avoidance of dietary sources of Vitamin D and calcium 3. Increased medication use that interferes with Vitamin D 4. Malabsorption of fat soluble vitamins
30
What are some signs and symptoms of osteoporosis?
1. Altered posture 2. Decreased height caused by vertebral collapse fracture 3. Back pain 4. Fractures
31
What would cause hypermetabolic responses?
1. Sepsis 2. Trauma 3. Burns 4. Major surgery 5. Stress 6. Fractures
32
What is enteral nutrition?
Tubefeeding
33
What is parenteral nutrition?
providing nutrients intravenously