ATI chapter 5 nutrition during pregnancy

increase 340 cal/day second trimester increase 452 cal/day third trimester

recommended increases in calories during pregnancy

basic growth

why to increase protein during pregnancy

neurologic developmentprevention of fetal neural tube defects

why to increase folic acid during pregnancy

leafy vegs, dried peas/beans, seeds, orange juice

foods with folic acid

600mcg

what is the recommended daily dose of folic acid while pregnant?

400mcg

what is the recommended daily dose of folic acid while during child bearing age

bone and teeth formation1,000mg/day (1300 if under 19)

why is calcium important during pregnancy and recommended daily dose

FORTIFIED MILK, JUICE, LEAFY greens, nuts, legumes

sources of calcium

increase maternal RBC mass

why is iron important during pregnancy

vitamin c

needed to absorb iron

pica

an abnormal craving or appetite for nonfood substances, such as dirt, paint, or clay that lasts for at least 1 month

Ferrous sulfate: 30 mg during 2nd and 3rd trimester (taken between meals, not with milk, coffee, or tea)Folic acid: 400 mcg (added to 200 from food=600)

needed supplements during pregnancy

Maternal Phenylketonuria

maternal genetic disease in which high levels of phenylalanine pose danger to the fetus

increase protein and caloric intake 330-400 calories/daywell balanced dietincrease fluids minus alcohol and caffeine calcium supplements if not enough in diet

nutritional plan for lactating clients

neural tube defects

congenital deformities of the brain and spinal cord caused by incomplete development of the neural tube, the embryonic structure that forms the nervous system