pre pregnancy nutrition Flashcards

0
Q

Folate deficiency

A

Neural tube defects

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1
Q

Nutritional status before becoming pregnant…

A

Affects pregnancy outcome and long term health of mom and baby

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2
Q

Iron deficiency

A

Risk of anemia in mom and baby

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3
Q

Full term pregnancy

A

38-42 weeks

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4
Q

First trimester

A

Conception to 13 weeks

Development of organs, limb buds, facial features, and placenta

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5
Q

Second trimester

A

Week 14 to 27
Continued development of organ systems
Growth from three inches to one foot long by end

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6
Q

Third trimester

A

28 week to 40
Fetus gains three quarters of its weight in this time
Brain growth extensive

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7
Q

When does neural tube close

A

By 4 weeks

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8
Q

Teratogens

A
Alcohol and drugs 
Tobacco 
Medications 
Caffeine
Supplements and herbs
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9
Q

Recommended weight gain

A

Depends of pre pregnancy BMI

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10
Q

Women with “normal” BMI should gain…

A

3-5 lbs in the first trimester and about a pound per week in the 2nd and 3rd trimester

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11
Q

How much calorie increase?

A

15% for someone who consumes a 2,000 kcal

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12
Q

How much more protein should pregnant women eat?

A

25 g/day

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13
Q

Percent of calories from fat increase to?

A

The percentage of calories obtained from fat should not change during pregnancy

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14
Q

Micronutrients most critical during pregnancy

A
Folate 
Vitamin B12
Vitamin C
Vitamin A
Vitamin D
Calcium 
Iron 
zinc 
Sodium 
Iodine
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15
Q

Excess vitamin A

A

Can cause birth defects

16
Q

RDA for vitamin D

A

Does not increase during pregnancy (600 IU)

17
Q

Calcium increase?

A

Same as for non pregnant women (1000 mg)

Calcium is absorption is more efficient during pregnancy

18
Q

Iron increase needs

A

By 50%

27 mg/day

19
Q

Zinc

A

Needed for DNA and RNA

38% increase (11 mg)

20
Q

Sodium

A

Does not increase for pregnancy women

21
Q

Iodine

A

Iodine needs increase

220

22
Q

What does not need to be increased during pregnancy?

A

Vitamin D
Calcium
Sodium

23
Q

Fluids during pregnancy

A

Increased to 3 liters per day

24
Q

Gestational diabetes

A

Insufficient insulin production or insulin resistance that increases blood glucose levels during pregnancy

25
Q

Risk with Gestational Diabetes

A

Risk of delivering a large baby
Risk of delivering preterm
Increased risk of child being overweight and metabolic syndrome later in life, lead to type 2 diabetes
40-60% increased risk for mom developing type 2
42% more likely to have a child with autism

26
Q

Smoking and drug use

A

Increased risk of miscarriage, stillbirth, placental abnormalities, preterm delivery, and low birth weight

27
Q

Lactating women caloric consumption for first 6 months

A

330 kcal above their prepregnancy weight

28
Q

Second six months lactating women

A

Extra 400 kcal above prepregnancy

29
Q

How much protein for lactating women?

A

15-20 grams of protein

30
Q

How much more carbohydrates during lactation?

A

80 g

31
Q

How many calories should could from fat for infants?

A

40-50%

32
Q

What vitamins are important for infants?

A

Iron, vitamin D, zinc, fluoride, and iodide needs are a concern

33
Q

How much do infants grow?

A

10 inches in length and triple their weight in the first year

34
Q

When should babies start being fed solid food?

A

6 months

35
Q

Formulas

A

Tightly regulated by federal government