Question

1. Review the following case study and answer the questions below.

Sarah

Sarah is 28 years old and 7 months pregnant with her third child. Her other children are 2-1⁄2 and 1-1⁄2 years old. She had uncomplicated pregnancies and deliveries. Sarah is 5' 6" tall; she weighed 142 pounds at the beginning of this pregnancy, which made her prepregnancy BMI 23. She has gained 24 pounds so far. Prior to her first pregnancy, her BMI was 20 (124 pounds). She is unhappy about her weight gain, but the stress of having two young children and being a stay-at-home mom made losing weight impossible.

She went online for her MyPlate plan, which recommends she consume 2,400 calories per day. She doesn’t think she eats that much because she seems to have constant heartburn. She takes a prenatal supplement, so she feels confident that even if her intake is not perfect, she is getting all the nutrients she needs through her supplement.

Click the icon to see a typical day’s intake for Sarah.   

Breakfast: cornflakes with whole milk (children drink whole milk)

Orange Juice

Snack: bran muffin and whole milk

Lunch: either a peanut butter and jelly sandwich or tuna fish sandwich with mayonanaise

Snack crackers

Whole milk

Pudding or cookies

Snack: Ice cream

Dinner:Macaroni and cheese

Green beans

Roll and butter

Whole milk

Cake or ice cream for dessert

Evening: chips and salsa

• Based on Sarah’s typical daily intake, pick one meal and analyze the macronutrient and micronutrients that may contribute to excess weight gain.
• Develop a nutritional plan to help Sarah reduce heartburn.
• Discuss the factors that may contribute to a high-risk pregnancy.

Answer 1

I picked whole milk.and i think whole milk which sarah is taking three times a day is the reason for her weight increment.

Milk is a natural source of calcium, vitamin B12, riboflavin (vitamin B2), phosphorus and potassium. It also contains smaller amounts of other nutrients including vitamin A, niacin, folate, vitamin B6, vitamin D, magnesium, selenium and zinc.Milk contains high quality protein, carbohydrate in the form of lactose, as well as different fatty acids and a wide range of micronutrients including vitamins, minerals and trace elements.

Presence of lactose, fat, cream and carbs in milk is the main reason for weight gain if taken without daily exercise

Taking whole milk will increase the amount of calories in the body and helps in gaining weight by increasing metabolism lactose present in milk cause weight gain because it will converted into fat in the body so you should have to drink whole milk if you are a lean body person but if you are fatty or your BMI lies in the range of obesity you should have to drink milk in lesser quantity and start exercising regularly by which better absoption of micro and macronutrients takes place.

I think Sarah must have to take oatmeal in the breakfast with the milk and have to reduce She is taking cornflakes which is good but if she takes some oats in the morning this will help her to reduce heartburn and also some weight

She has to take orange juice in less amount because citrus fruits causes some amount of heart burn

and must have to take non citrus fruits like bananas, apples and peers

i think sarah have to reduce intake of fast foods like chips salsa macroni because these all may cause heartburn instead of this she must to take green leafy vegetables broccoli spinach cauliflowere etc

Risk factors for a high-risk pregnancy can include: Existing health conditions, such as high blood pressure, diabetes, or being HIV-positive. Overweight and obesity. Obesity increases the risk for high blood pressure, preeclampsia, gestational diabetes, stillbirth, neural tube defects, and cesarean delivery