NUTRITION IN PREGNANCY

Developed by

D. Ann Currie, R.N., M.S.N.

NUTRITION IN PREGNANCY

PLAYS SIGNIFICANT ROLE IN THE OUTCOME OF THE PREGNANCY

FETAL WELL-BEING PREVENTION AND TREATMENT OF

HIGH RISK PREGNANCIES INTEGRAL PART OF NURSING CARE OF

PREPREGNANT AND PREGNANT CLIENTS

NURSE’S ROLE PRECONCEPTION EDUCATION ASSESSMENT OF NUTRITIONAL STATUS PLANNING NUTRITIONAL CARE CLIENT EDUCATION CLIENT ADVOCATE PROVIDE RESOURCES REFFERALS

FACTORS AFFECTING PRENATAL NUTRITION NUTRITIONAL STATUS PRIOR TO

PREGNANCY MATERNAL AGE MATERNAL PARIETY SUBSTANCE USE CLIENT’S EDUCATION OTHER

SPECIAL CONSIDERATIONS AFFECTING NUTRITION CULTURAL,

ETHNICAL,OR RELIGIOUS INFLUENCES

VEGETARIANISM EATING DISORDERS LACTOSE

INTOLERANCE

PICA SUBSTANCE USE PSYCHOSOCIAL

FACTORS SOCIOECONOMIC

FACTORS EDUCATION PSYCHOLOGICAL

FACTORS

CONT. SPECIAL CONSIDERATIONS MATERNAL AGE DIETARY PATTERNS DISEASES AND/OR MEDICAL

CONDITIONS OTHER

PRECONCEPTION CARE HEALTH PROMOTION NUTRITION-HEALTHY DIET INCLUCING

FOLIC ACID. ADEQUATE FLUID INTAKE EXERCISE REST AVOIDANCE OF SUBSTANCES ABUSE

PLANNING NUTRITIONAL CARE ASSESSMENT NSG DIAGNOSIS PLANNING INTERVENTIONS EDUCATION EVALUATION

DIETARY RECOMMENDATIONS DURING PREGNANCY CALORIES FLUIDS-WATER PROTEIN CARBOHYDATES FAT VITAMINS-FAT

SOLUBLE & WATER SOLUBLE

MINERALS-FE,CALCIUM, ZINC,&OTHERS

BODY MASS INDEX(BMI) BMI=WT/HT²……KG/M² BMI-below19.8-UNDERWEIGHT-WT GAIN

OF12.5-18 KG. BMI-19.8-26-NORMAL-WT.GAIN OF 11.5-

16 KG. BMI-26-29-OVERWEGHT-WT GAIN OF 7-

11.5 KG. BMI OVER 29-OBESE-WT. GAIN OF 7KG.

MORE ON WT. GAIN IN PREGNANCY 1ST TRIMESTER-WT. GAIN OF 1-2.5 KG THEN:0.4 KG WEEKLY FOR NORMAL BMI,0.3

KG WEEKLY FOR OVERWEIGHT BMI,0.5 KG WEEKLY FOR UNDERWEIGHT BMI CLIENTS

NO INCREASE IN CALORIES IN 1ST TRIMESTER

ADDITIONAL 300 CALORIES/DAY IN 2ND AND 3RD TRIMESTERS

MORE ON WEIGHT GAIN TEENNAGERS SHOULD GAIN HIGHER

AMOUNT OF BMI--IE --A TEENAGER WITH BMI OF 22 SHOULD GAIN 16KG. OR 35.2 LBS.