Question

In: Nursing

Mrs. Lederman, a healthy 32-year-old woman who meets in week 13 of pregnancy, ask your doctor...

Mrs. Lederman, a healthy 32-year-old woman who meets in week 13 of pregnancy, ask your doctor to recommend you to a dietitian to discuss your diet vegan. After obtaining the recommendation and making an appointment with the consultation service in nutrition, you are asked to fill out a record of your food consumption for three days before of the appointment. Mrs. Lederman follows the instructions provided and completes it in a manner careful food registration. Before the appointment, send your record to the dietitian who will value. During her appointment, the dietitian notes that Mrs. Lederman began the pregnancy with a normal weight, has increased 1.5 kg, has no history of iron deficiency or other nutrients and her pregnancy follows a normal course. In addition, she has been a vegan since she was 16 years old. age, and while you think it is good for your health, you worry that your baby is not getting the nutrients what do you need. Mrs. Lederman wears a cap when she goes anywhere, so It processes little or no amount of vitamin D into your skin. Always combine vegetable sources of protein (usually legumes and grains), so you consume all the protein on a daily basis. The results of the nutritional analysis carried out by the dietitian showed the following levels average calorie and nutrient intake: kcal: 2 237 Protein, g: 71 Linoleic acid (n-6 fatty acids), g: 15.2 α-linolenic acid (n-3 fatty acids), g: 0.54 Vitamin B12, μg: 2.1 Vitamin D, μg: 3 (120 IU) Zinc, mg: 15

Questions 1. Does Mrs. Lederman consume enough protein? 2. Based on the information presented, what nutrients do you consume in smaller amounts to the standard DRI for pregnancy? 3. Suggest three types of food that Mrs. Lederman would have to consume to increase your intake of the nutrients identified in question 2.

Solutions

Expert Solution

1.

No, Mrs. Lederman doesn't consume enough proteins. As she is in 2 nd trimester, her daily calories intake is increased to 2237 kcal , so the daily protein intake should be incresed. As she taking 71 gm daily protein which is perfect if the daily calories intake is 2000. But as It is recommended that, in 2nd and 3rd trimester the daily protein intake sholud be more than 75- 100 gm per day .  

2. Based on the information provided , mrs. Lederman is taking VITAMIN D, Vitamin B12 are smaller amount to the standard daily recommended intake in pregnancy.

As, recent updates daily recommended intake of vitamin D is 20 micrograms (800 IU) and daily recommended intake of 2.4 microgram.

3.

Foods for increasing vitamin D intake-- mushrooms( portbello,maitake),orange juice, fortified yougert and milk, soy yougert, cereals, almond milk.

Foods for increasing vitamin B12 intake-- mushroom, fortified cereals, fortified juice, fortified tofu, swiss cheese , low fat milk, beetroot, spinach,soy milk.


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