Question

In: Nursing

Heidi, 28 years old, just found out she is pregnant. She weighs 134# and is 5’6.”...

  1. Heidi, 28 years old, just found out she is pregnant. She weighs 134# and is 5’6.” Calculate her current BMI and recommend the amount of weight she should gain during her pregnancy.
  1. How many calories per day should Heidi consume to support her pregnancy?
  1. How much food would be needed to provide the additional energy needed in the third trimester based on the DRI? Hint: Use the ADA Exchange System to estimate the amount of food that would be needed.
  1. How much additional protein is needed to meet the nutritional requirements of the pregnancy? How much extra food would this be? Hint: Use the ADA Exchange System to estimate the amount of food that would be needed.
  1. How will Heidi’s calcium needs change during pregnancy?
  1. How will her DRI for iron change to meet the nutritional requirements of pregnancy?
  1. How will her DRI for folate change to meet the nutritional requirements of pregnancy?
  1. Considering the answers to the above questions, is the statement “I can eat as much as I want to during pregnancy because I’m eating for two” really accurate?

Solutions

Expert Solution

pregnancy is mainly one of the most crucial moment for a female as she is the one going to bring a new life in this world.

Pregnancy occurs when a sperm fertilizes an egg after it's released from the ovary during ovulation. The fertilized egg then travels down into the uterus, where implantation occurs. A successful implantation results in pregnancy. Usually a time period of 37 to 40 weeks is considered to be a full term pregnancy and baby is born matured.

A healthy diet plays a very very important role for a healthy baby and a mother to be for easy process of delivery and mantaining a healthy nutritive body status of herself and upcoming baby to born.

BMI (Body Mass Index) is considered as a best scale for differentiating a healthy or unhealthy body weight and which is most important for a female specially who is going to be mother. A healthy delivery without any complications and a healthy baby to be born feasilbly a mother nees to mantain her body weight. As per the consultation of her doctor or dietician .

BMI is the ratio of body weight (in kg) to height (in m​​​​​2 )​​​

The lasy named here heidi is 28 years old and her bmi is calculated as normal.

The following is a recommend body weight range table for your entire pregnancy period.

Week Recommended Weight Range Recommended Weight Gain
Week 1 134.0 - 134.0 kgs 0 - 0 kgs
Week 2 134.0 - 134.2 kgs 0.04 - 0.2 kgs
Week 3 134.1 - 134.3 kgs 0.08 - 0.3 kgs
Week 4 134.1 - 134.5 kgs 0.1 - 0.5 kgs
Week 5 134.2 - 134.7 kgs 0.2 - 0.7 kgs
Week 6 134.2 - 134.8 kgs 0.2 - 0.8 kgs
Week 7 134.2 - 135.0 kgs 0.2 - 1.0 kgs
Week 8 134.3 - 135.2 kgs 0.3 - 1.2 kgs
Week 9 134.3 - 135.3 kgs 0.3 - 1.3 kgs
Week 10 134.4 - 135.5 kgs 0.4 - 1.5 kgs
Week 11 134.4 - 135.7 kgs 0.4 - 1.7 kgs
Week 12 134.5 - 135.8 kgs 0.5 - 1.8 kgs
Week 13 134.5 - 136.0 kgs 0.5 - 2.0 kgs
Week 14 134.7 - 136.3 kgs 0.7 - 2.3 kgs
Week 15 134.8 - 136.5 kgs 0.8 - 2.5 kgs
Week 16 135.0 - 136.8 kgs 1.0 - 2.8 kgs
Week 17 135.2 - 137.0 kgs 1.2 - 3.0 kgs
Week 18 135.3 - 137.3 kgs 1.3 - 3.3 kgs
Week 19 135.5 - 137.6 kgs 1.5 - 3.6 kgs
Week 20 135.7 - 137.8 kgs 1.7 - 3.8 kgs
Week 21 135.8 - 138.1 kgs 1.8 - 4.1 kgs
Week 22 136.0 - 138.4 kgs 2.0 - 4.4 kgs
Week 23 136.2 - 138.6 kgs 2.2 - 4.6 kgs
Week 24 136.3 - 138.9 kgs 2.3 - 4.9 kgs
Week 25 136.5 - 139.1 kgs 2.5 - 5.1 kgs
Week 26 136.7 - 139.4 kgs 2.7 - 5.4 kgs
Week 27 136.8 - 139.7 kgs 2.8 - 5.7 kgs
Week 28 137.0 - 139.9 kgs 3.0 - 5.9 kgs
Week 29 137.2 - 140.2 kgs 3.2 - 6.2 kgs
Week 30 137.3 - 140.5 kgs 3.3 - 6.5 kgs
Week 31 137.5 - 140.7 kgs 3.5 - 6.7 kgs
Week 32 137.7 - 141.0 kgs 3.7 - 7.0 kgs
Week 33 137.8 - 141.2 kgs 3.8 - 7.2 kgs
Week 34 138.0 - 141.5 kgs 4.0 - 7.5 kgs
Week 35 138.2 - 141.8 kgs 4.2 - 7.8 kgs
Week 36 138.3 - 142.0 kgs 4.3 - 8.0 kgs
Week 37 138.5 - 142.3 kgs 4.5 - 8.3 kgs
Week 38 138.7 - 142.5 kgs 4.7 - 8.5 kgs
Week 39 138.8 - 142.8 kgs 4.8 - 8.8 kgs
Week 40 139.0 - 143.1 kgs

5.0 - 9.1 kgs

She need to take diet as per this approved scale range till last of her pregamcy to gain weight as per needed fir a healthy labor process.

Calories needed per day= A normal weighed pregnant women, the right amount of calories is: About 1,800 calories per day during the first trimester. About 2,200 calories per day during the second trimester. About 2,400 calories per day during the third trimester.

Food in third triemester to support extra energy=The growth and development of your baby will depend on what you eat, and that’s the reason why the 7 to 9 months pregnancy diet is crucial. You will now need about 200 additional calories every day, and an adequate quantity of vitamins, fibre and minerals.

Protein needed to meet nutritional requirement=Your body will need about 70 grams of protein during this stage since it helps in the formation of the baby’s body. Eating protein-rich foods will ensure that your blood glucose levels remain constant and the risk of diabetes is minimised. You can eat foods like tofu, legumes, fish, and meat.

Calcium=calcium also plays a vital role in a hekath of mother as baby’s bones should get stronger and for that, your pregnancy diet should include about 800 mg of calcium. To meet your calcium requirements, you can add and milk products like cheese, tofu, and yoghurt to your diet. Salmon and nuts are also good sources of calcium. However, if you plan to eat salmon, first, check with your doctor if you can eat it or not. If she gives a go-ahead, make sure you cook it well before eating.

Iron=A diet that lacks iron could lead to anaemia during pregnancy, which can make you dizzy and tired. It may also cause bleeding during delivery. Hence, eating iron-rich foods is necessary. In your last trimester pregnancy diet, you can include meat, dairy products, eggs, wheat bran and beans.

Folate=

Folic acid is found in green leafy vegetables like spinach and romaine lettuce – you can include these in your third-trimester diet. Consuming folic-acid rich foods will ensure proper foetal growth and lower the risk of low-birth-weight of your baby. Apart from eating spinach and lettuce, you can even include folic acid, beans, and citrus fruits.


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