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Underweight BMI under 18.5
Normal weight 18.5-24.9
Overweight 25-29.9
Obese BMI over 30
Extremely Obese BMI > 35
Calculate BMI weight (kg) / height (m^2)
Management of the eating behavior (food diary, where
why, how, and how much)
Promoting physical activity to increase energy output
Pursuit of emotional (stress), social, and psychologic
weight management strategies and actions
health
Define problem behavior
Record and Analyze Baseline Behavior
Plan a Behavior Management Strategy
Physical appearance (health of eyes and hair)
anthropometric measurements (weight, body composi-
How do we assess nutritional status?
tion)
biochemical markers (blood lipid levels, iron status)
Breastfeed for at least the first full year of life, and sup-
What is recommended for an infant diet during the first
plement with a vitamin K shot at birth and daily vitamin D
year of life?
drops
What is recommended for a child who is not breastfeed- Use iron-fortified formula for any infant who is not breast-
ing? feeding
Water and juice are unnecessary for the breastfed infants
What age should water and juice be avoided?
during the first 6 months of life
at the end of the first year. Provide whole milk, not re-
When should you introduce cow's milk?
duced-fat or fat-free milk, until 2 years of age
What allergens should be avoided as first solid foods? wheat, egg white, citrus juice, and nuts
,What should you not give a child under one year of age
Honey and corn syrup
to avoid botulism toxicity?
Which foods should be avoided until children are older hot dogs, nuts, grapes, carrots, popcorn, cherries, peanut
because they are a choking hazard? butter, and round candy
What are the energy needs of an infant? 80-120 calories per kg of body weight
What protein source do babies need the first 6 months of
breastmilk
life?
What protein sources do babies need after 6 months of Ground turkey, chicken, cheese, yogurt, and other dairy
life? products
What percent of daily calories are recommended for car-
45-65%
bohydrates?
What percent of daily calories are recommended for fats? 20-35%
What percent of daily calories are recommended for pro-
10-35%
teins?
What is needed prenatally for a client? Folate, Vitamin D, and Choline
increased rates of low birth weight, preterm delivery, and
What are some risks with teen pregnancy?
infant mortality.
How many calorie should be added to a diet of a pregnant
none
woman in the first trimester?
How many calories should be added to a diet of a preg-
+300 kcal/day
nant woman in the second trimester?
How many calories should be added to the diet of a
+500 kcal/day
pregnant woman in the third trimester?
Minimum carb req. increases from 130 g/day to 175
What is the carb requirement for the diet of a pregnant
g/day. Focus on whole grains, legumes, fruits, and veg-
woman?
etables.
, What is the fat requirement for the diet of a pregnant
Minimum fat req. increases from 12 g/d to 13 g/d
woman?
What is the alpha-linolenic acid requirement for the diet
alpha-linolenic acid increases from 1.1 g/d to 1.4 g/d -
of a pregnant woman?
What foods can add alpha-linolenic acid to the diet? flax, chia, canola, walnut, soybean oil
How much protein should be consumed in the diet of a
Protein - 46 g/day to 71 g/day
pregnant woman?
What protein should pregnant women consume to meet - eggs, milks, beef, poultry, fish, pork, cheese, soy prod-
their daily requirements? ucts, and other animal products
What additional nutrients are needed for the diet of a
Calcium, Iron, Vitamins, Folate, Vitamin D, Choline
pregnant woman?
Folic acid - Important for DNA synthesis, cell division, and
What is the role of folic acid in pregnancy?
hemoglobin synthesis
Important 2 months prior to week 6 of gestation to ensure
When is folic acid most important for a developing fetus? adequate nutrient availability in the endometrial lining of
the uterus for embryonic tissue development.
The neural tube forms during the critical period from 21
to 28 days gestation and it grows into the mature infant's
What does folic acid do for the developing fetus?
spinal column and its network of nerves. Full closure of the
neural tube requires suflcient folate.
What is the recommended calorie increase for a breast- 1st 6 months: 330 kcal/day (plus 170 kcal/day from ma-
feeding mom during the first six months of breastfeeding? ternal stores)
What is the recommended calorie increase for a breast-
400 kcal/day
feeding mom after the first 6 months of breastfeeding?
What is the recommended fluid intake for breastfeeding
3L/day
mothers?
, What considerations do you need to take when doing Consider food restrictions on certain days, certain foods,
nutritional education to clients of dittering religions and liquids (alcohol and catteine), how the food is prepared
cultures? (certain foods mixed and how the food is cooked)
Diflculty swallowing - chronic, common among patients
with Alzheimer's, Parkinson's, and stroke complications,
What is dysphagia and where is it typically seen? head and neck cancer, tooth loss, xerostomia, neu-
rodegenerative, neuromuscular disorders, post-intuba-
tion trauma, muscular weakness of the larynx
Reluctance to eat certain food consistencies or any food at
all.
-Very slow chewing or eating
-fatigue from eating
-frequent throat clearing
-complaints of food "sticking" in the throat, pockets of
What are some behaviors seen in patients with dyspha-
food held in the cheeks
gia?
-painful swallowing, regurgitation, coughing or choking
---
-silent aspirations.
Adapt the diet to individual needs in stages of thickened
liquids and pureed foods
Which consults would you do with a patient with dyspha- Registered dietician nutritionist (RDN),
gia? Speech-lang`1uage pathologist, Occupational therapist
TPN total parenteral nutrition (IV feeding)
Infused continuously over 24 hours, most used in a hos-
Continuous PN
pital setting
Nutrient solution infusion regimen varies and is common-
ly administered overnight. Allows clients requiring PN on
Intermittent or cyclic PN
a long-term basis to participate in activities of daily living
during the day without the inconvenience of an IV bag