OB exam 2 questions and answers Graded A+
Weight Gain Recommendations
-Recommended weight gain for pregnancy normal BMI is 25-35lbs
-Based on pt's pregnancy BMI (too low or too high)
Energy Nutrients
carbs (complex)
fats (Docosahexaenoic acid DHA important for fetal cognitive devel)(canola oil,
soybeans, walnuts, fish)
calories (increase in 2nd trimester)(avoid low cal diet)
Protein
-Daily rec 71g
-For tissue growth & repair
-avoid low calorie diets
Vitamins
Fat soluble – A, D, E, K (stored in liver, fat, skeletal muscle)(excessive intake toxic)
Water soluble – B12, B6, folic acid, thiamin, riboflavin, niacin
Folic acid (folate) - decrease neural tube defects. Get good intake before
conception & 1st trimester. (0.4 mg daily).
Once pregnancy go up to 0.6mg
Minerals
Iron –27mg, form hemoglobin (mom with anemia or twins take 60-120 mg)
Calcium – only absorb 500 mg at a time, for bones & teeth
Sodium – not restricted
Fetal intake of iron is low for the first how many months?
4-6 months
, Foods to limit/avoid & their Complications
Shark, swordfish, king mackerel, marlin, orange roughy, tile fish, bigeye
tuna = mercury
Unpasteurized milk, soft cheese
Raw meat, hot dogs, poultry, eggs = bacterial listeria
Listeriosis = miscarriage, still birth, preterm labor
Toxoplasmosis - Unwashed fruits/veggies & cat feces
Drinks with high sugar, alc
Nutritional supplementation
Food is best source - if mom has good diet, she may not need supplements
Providers prescribe prenatal vitamins
Assess individual needs
Nutritional Risk Factors
Socioeconomic
Vegetarian diet
Bariatric surgery
N/V - easy fix
Anemia
Anorexia/Bulimia - can cause miscarriage
Cravings, Aversions, Pice
Substance Abuse
No more than 200mg of caffine
What is the caloric intake needed for the 2nd & 3rd trimesters?
2200-2900/day
Biophysical Profile (BPP) definition
Use NST and Ultrasound for fetal HR, movement, tone, breathing, fluid amount
Biophysical Profile (BPP) Interpretation of scores
Normal score of 2 & abnormal score of 0
Weight Gain Recommendations
-Recommended weight gain for pregnancy normal BMI is 25-35lbs
-Based on pt's pregnancy BMI (too low or too high)
Energy Nutrients
carbs (complex)
fats (Docosahexaenoic acid DHA important for fetal cognitive devel)(canola oil,
soybeans, walnuts, fish)
calories (increase in 2nd trimester)(avoid low cal diet)
Protein
-Daily rec 71g
-For tissue growth & repair
-avoid low calorie diets
Vitamins
Fat soluble – A, D, E, K (stored in liver, fat, skeletal muscle)(excessive intake toxic)
Water soluble – B12, B6, folic acid, thiamin, riboflavin, niacin
Folic acid (folate) - decrease neural tube defects. Get good intake before
conception & 1st trimester. (0.4 mg daily).
Once pregnancy go up to 0.6mg
Minerals
Iron –27mg, form hemoglobin (mom with anemia or twins take 60-120 mg)
Calcium – only absorb 500 mg at a time, for bones & teeth
Sodium – not restricted
Fetal intake of iron is low for the first how many months?
4-6 months
, Foods to limit/avoid & their Complications
Shark, swordfish, king mackerel, marlin, orange roughy, tile fish, bigeye
tuna = mercury
Unpasteurized milk, soft cheese
Raw meat, hot dogs, poultry, eggs = bacterial listeria
Listeriosis = miscarriage, still birth, preterm labor
Toxoplasmosis - Unwashed fruits/veggies & cat feces
Drinks with high sugar, alc
Nutritional supplementation
Food is best source - if mom has good diet, she may not need supplements
Providers prescribe prenatal vitamins
Assess individual needs
Nutritional Risk Factors
Socioeconomic
Vegetarian diet
Bariatric surgery
N/V - easy fix
Anemia
Anorexia/Bulimia - can cause miscarriage
Cravings, Aversions, Pice
Substance Abuse
No more than 200mg of caffine
What is the caloric intake needed for the 2nd & 3rd trimesters?
2200-2900/day
Biophysical Profile (BPP) definition
Use NST and Ultrasound for fetal HR, movement, tone, breathing, fluid amount
Biophysical Profile (BPP) Interpretation of scores
Normal score of 2 & abnormal score of 0
