Nutrition in childbearing and obesity in childbearing

5 Written Questions

1. No change in:
   Thiamine
   Riboflavin
   Niacin
   
   Double B12 (careful with Vegans! They need extra!)
   folic acid need increases 50%
2. Ingestion of non-food substances
   Non-judgmental attitude is important
   Teach, supplement, refer to WIC
   Women are often frightened by these urges, support and normalize!
3. discouraged in TOTAL
   Teratogenic: FAS
   Interferes with judgement, nutrition, employment, relationships, and safety in driving and balance
4. BMI of 25-29.9
   15-25 lbs
5. weight loss
   exercise programs
   variatric surgery
   stabilization of known medical problems

5 Matching Questions

1. *Weight gain goals in pregnancy: Low BMI
2. *Weight gain goals in pregnancy: obese BMI
3. Calories increase in pregnancy
4. Caffeine in Pregnancy
5. *Good Nutrition in Pregnancy

1. a Critical for health of mother and newborn
   Is often first indicator of attachment issues and other psychological and emotional problems
2. b 300-500/day
   400-500/day for lactation
   surprisingly less than people think
3. c BMI of > 30
   15 lbs
4. d BMI of < 18.5
   28-40 lbs
5. e interferes with ability to use and store calcium
   replaces the drinking of water or other nutrients
   increases HR and preeption of stress
   decreases appetite
   increases stomach acid

5 Multiple Choice Questions

1. Weight gain often correlates w/nutrients
   optimal: ongoing sustenance for fetus, not sporadic nutrition
   This can be an indicator of investment into pregnancy and future parenting!
   1. *Risks of Obesity
   2. Protein
   3. PP Considerations:
   4. Why care about weight?
2. 400 mg/day pre-pregnancy
   600 mg/day in pregnancy
   500 mg/day while lactating
   Natural sources include:
   legumes
   asparagus
   spinach
   OJ
   broccoli
   Whole grains
   1. Pica
   2. FAS: Sx
   3. Alcohol
   4. Folic Acid
3. BMI of 18.5-24.9
   25-35 lbs
   1. *Weight gain goals in pregnancy: Low BMI
   2. *Weight gain goals in pregnancy: overweight BMI
   3. *Weight gain goals in pregnancy: obese BMI
   4. *Weight gain goals in pregnancy: normal BMI
4. teens
   smokers
   birth control users
   chocoholics
   1. Preconception Care
   2. PP Considerations:
   3. Folic Acid
   4. People low in calcium
5. Everything that goes into you, goes into baby. Mostly need fluid (water), increasing about a quart a day above norm
   1. Nutrition
   2. food as an expression
   3. Nutrition PP and Breastfeeding
   4. *Risks of Obesity

5 True/False Questions

1. Other factors for weight gain besides BMI → twin pregnancy is 35-45 lbs
   triplets is 50 lbs
   age (teens still growing)
   activity level
   special needs r/t other health concerns

   True        False

2. Water → Important, flushes out pathogens
   Exact amount is unknown (watch urine color for dehydration unless on B vits)
   no more than 2 cups /day of herbal teas

   True        False

3. Pathophysiological changes r/t obesity → Pre-eclampsia
   stillbirth
   C/S
   Dereased VBAC success
   Instrumental delivery
   Shoulder dystocia
   meconium aspiration
   fetal distress
   early neonatal death
   increased NTD and cardiac defects
   LGA
   Contraceptive failure
   lower prolactin rise in 1st week PP

   True        False

4. Herbs to avoid in pregnancy → cohosh
   juniper
   pennyroyal
   rosemary
   sage
   raspberry leaves

   True        False

5. Risks and Race: African and Hispanic Americans → Increase in:
   Type II GDM
   Preeclampsia
   Fetal Weight
   C/S rate

   True        False