Nutrition Through The Life Cycle
7th Edition
ISBN: 9781337919333
Author: Brown, Judith E.
Publisher: Cengage Learning,
expand_more
expand_more
format_list_bulleted
Concept explainers
Question
Chapter 5, Problem 2.3CS
Summary Introduction
To explain: The reason why Person E delivered an abnormally large newborn.
Introduction: Gestational diabetes is an abnormality characterized by an increase in the blood glucose level during pregnancy. It is more likely to develop in women after 35 year-old and who is obese. Various other factors like lack of physical activity, unhealthy diet, and polycystic ovarian syndrome or previous history of the disease in earlier pregnancies or family history are also found in cases as the leading cause of the disease. The diagnosis of the disease is based on the estimation of glucose level in the blood as recommended by the American Diabetes Association and its management basically involves maintaining a healthy lifestyle with the aim of reducing the blood glucose.
Expert Solution & Answer
Trending nowThis is a popular solution!
Students have asked these similar questions
Ada is a pregnant 28 year old vegan. Her pre-pregnancy weight was 132 Ibs (60 kg), and her BMI was 24.
She is now 30 weeks along, and feeling fine. Her current weight is 153 Ibs (68.5 kg).
Mrs. Zexy Lucero, 30 years old, G1P0, 6 weeks by LMP presents at the lying in clinic for prenatal check-up. History revealed a Type 1 diabetes since 14 years of age, history of diabetic nephropathy and proliferative retinopathy and is bothered about the effects on her baby. Which of the following statements about diabetes in pregnancy needs further instructions? (SELECT ALL THAT APPLIES)
a. Diabetes ketoacidosis is a common complication during the first trimester.
b. Glycosylated hemoglobin levels are poor predictors of the risk of congenital malformations
c. Proteinuria over 300 mg/dL is associated with increased risk of preeclampsia.
d. The risk of fetal chromosomal abnormalities is increased.
A 3-week-old female newborn is brought to the emergency department because of a 4-day history of bluish discoloration of the feet, poor feeding, excessive sweating, and irritability. She was born at term following an uncomplicated pregnancy and spontaneous vaginal delivery. Examination following delivery showed no abnormalities and she was discharged two days later. She is exclusively breastfed. She appears ill. She is at the 70th percentile for length and 20:h percentile for weight. Her temperature is 36.8°C (98.2°F), pulse is 168/min, and respirations are 66/min. Her blood pressure is 91/69 mm Hg in the right arm, 90/70 mm Hg in the left arm, 72/67 mm Hg in the right lower limb, and 70/68 mm Hg in the left lower limb. Pulse oximetry on room air shows an oxygen saturation of 98% in the right hand and 78% in the right foot. On examination, subcostal retractions are seen, and the liver is palpated 4 cm below the right costal margin. Chest auscultation discloses fine crepitations in both…
Chapter 5 Solutions
Nutrition Through The Life Cycle
Ch. 5 - Prob. 1.1CSCh. 5 - Prob. 1.2CSCh. 5 - Prob. 1.3CSCh. 5 - Prob. 2.1CSCh. 5 - Prob. 2.2CSCh. 5 - Prob. 2.3CSCh. 5 - Prob. 2.4CSCh. 5 - Prob. 2.5CSCh. 5 - Prob. 3.1CSCh. 5 - Prob. 3.2CS
Ch. 5 - Prob. 3.3CSCh. 5 - Prob. 3.4CSCh. 5 - Prob. 1RQCh. 5 - Prob. 2RQCh. 5 - Prob. 3RQCh. 5 - Prob. 4RQCh. 5 - Prob. 5RQCh. 5 - Prob. 6RQCh. 5 - Prob. 7RQCh. 5 - Prob. 8RQCh. 5 - Prob. 9RQCh. 5 - Prob. 10RQCh. 5 - Prob. 11RQCh. 5 - Prob. 12RQCh. 5 - Prob. 13RQCh. 5 - Prob. 14RQCh. 5 - Prob. 15RQCh. 5 - Prob. 16RQ
Knowledge Booster
Learn more about
Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, health-nutrition and related others by exploring similar questions and additional content below.Similar questions
- A 25 y/o pregnant female has been diagnosed with gestational diabetes. Her OB/GYN wants her to meet with this healthcare professional to help develop a diet plan to follow during her pregnancy.arrow_forwardMrs. Vanessa Narciso has a prenatal weight of 105 and weighs 108 lb at her 12 week visitWhich of the following comments by Nurse Marina is appropriate at this time ? a. "We expect you to gain 1lb per week so your weight is a little low at this time” b. “You entered the pregnancy well underweight, so we should check your diet to make sure you are getting nutrients you need” c. “Your weight gain is exactly what we would expect at this time” d. “Most women gain no weight during the first trimester, so I would suggest you to eat fewer desserts for the next few weeks”arrow_forwardMeghan is a 33-year-old Filipina at her 28th week of 2nd pregnancy. She called for her obstetrician’s visit due to “flu” symptoms. Records for this visit showed that she stood at 4 feet 11 inches tall and weighed 145 lb. She had a routine glucose challenge test performed and it was noted at 662 mg/dL. A random glucose completed 1–2 days later showed to be at 500 mg/dL. A follow-up HbA1c was at 11.6%. Meghan presented to her obstetrician 3 days after the HbA1c was drawn for ongoing evaluation of hyperglycemia and was advised to rest and take fluids. With the persistent “on-and-off flu-like” symptoms for 3-4 weeks which now included nausea, polyuria, and polydipsia, Meghan presented herself at the Emergency Department. She also added she needs to catch her breath most of the time. Additional symptoms included a 23-lb weight loss over the past 3–4 weeks. Here, she was ordered for CBG and urinalysis. Serum potassium level of 3.35mEq/L. Meghan was immediately started on an insulin…arrow_forward
- Boy Andriyko, 9 months old child, is at a routine check-up. Andriyko was born from 1 pregnancy, 1 delivery with a body weight of 2800 g, body length of 48 cm. In 1 month the child's weight was 3400 g, body length - 51 cm. At 2 months - 4200 g, body length was 54 cm. At this age, Andriyko suffered an intestinal infection and was hospitalized. In 4 months the child's weight was 5100 g, body length - 59 cm. At 5 months, the child's weight was 5700 g, body length - 61 cm. At 6 months, the weight is 6500 g, the body length is 63 cm. At 7 months, the child's weight was 7200 g, body length - 65 cm. Give an assessment of the child's physical development with World Health Organization using these charts .arrow_forwardTeresa's body mass index (BMI) is 23.Based on this information, what should the nurse recommend to Teresa in terms of an overall weight gain and the specific weight gain pattern for each trimester? Describe the process that the nurse should use to help Teresa maintain an appropriate intake of foods and fluids during pregnancy.arrow_forwardAt 37 years of age, Señora Mendez was in her 23rd week of pregnancy and expecting her second child. Or so she thought, until an ultrasound scan detected twins. Her prepregnancy weight was 142 pounds (64.5 kg) and her BMI. Señora Mendez’s weight-gain progress has been poor due to nausea and vomiting experienced in the first half of pregnancy. Otherwise, Sra. Mendez was experiencing a normal pregnancy for women expecting twins. Concerns about her weight-gain progress and the nutritional needs of women with twin gestation prompted her certified–nurse midwife to prescribe a prenatal vitamin and mineral supplement and to refer her to a registered dietitian/certified diabetes educator. A nutritional assessment completed during week 25 of pregnancy identified that Sra. Mendez had gained 14 pounds since conception, and that her typical dietary intake excluded food sources of EPA and DHA. Her plasma 25-hydroxyvitamin D level was below 24 nmol/L, indicating low vitamin D status. No other…arrow_forward
- Maha is a 24-year-old office manager and part-time aerobics instructor who has delivered vaginally, without complications, a healthy, full-term son, Rani. With a birthweight of 3200 grams (7 lb), Rani is the first child for Maha and her husband. Maha is 162 cm(5 ft 4 in) tall with a prepregancy weight of 56.8 kg (125 lb). She gained 25 kg (55 lb) during her uncomplicated pregnancy and has been a lacto-ovo vegetarian for 5 years. After a 12-hour stay in a birthing center, Maha and her husband bring Rani home. At 4 days postpartum, Maha, her husband, and her mother-in-law bring the baby to the health care center for his first follow-up visit. Maha and her husband are very concerned about whether their son is getting adequate nourishment, so the dietitian is called to see the family. During nutrition assessment, the following information is documented. Rani weighs 3,000 grams (6 lb 6 oz). The parents report that Rani nurses vigorously about every 1½ to 2 hours and never sleeps for more…arrow_forwardA G1P0 pregnant client presents at the prenatal clinic: What is the Expected Date of Delivery (EDD) using Naegele’s Rule for a woman who has had their Last Menstrual Period (LMP) on: LMP: January 15, 2020arrow_forwardL.H. is a 26-year-old woman is in the clinic today for evaluation of weight gain and fatigue. She is 5 feet 6 inches and weighs 175 pounds. Prior to her pregnancy, she weighed 130 pounds and her maximum weight during pregnancy was 155 pounds. She is now 18 months postpartum and continuing to gain weight despite no change in diet or activity. She reports that the fatigue is getting worse even though her daughter is sleeping reliably through the night and the patient feels she is getting plenty of rest. She takes no other medications and has no significant medical history. Her vital signs today are HR 68, BP 108/60, RR 10, temperature 97° F Select a potential diagnosis for L.H. and describe the pathophysiology of that diagnosis. How does the pathophysiology explain L.H.’s symptoms?arrow_forward
- Ginger is a 60 year-old retired school teacher. She’s previously been diagnosed with CKD and has a current eGFR of 52 ml/min and her serum creatinine is 1.27 ml/dl. Ginger is 65” tall and weighs 156 lbs. She is working with a registered clinical dietician to manage her nutrient intake and eating habits. She is taking her Plendil as prescribed. Prior to beginning an exercise program, Ginger underwent a GXT. She achieved a maximum exercise capacity of 6 METs, a HRmax of 164 beats/min and demonstrated normal hemodynamic responses to exercise of increasing intensity. Over the last several weeks, Ginger has been regularly exercising in your clinical wellness facility. When she is not exercising, she enjoys gardening and walking in her neighborhood park with friends. She has been recording her resting heart rate and blood pressure before each exercise session. Her average resting heart rate is 68 beats/min and blood pressure is114/72 mmHg. Her resting measurements have not varied widely…arrow_forwardA G1P0 pregnant client presents at the prenatal clinic: What is the Expected Date of Delivery (EDD) using Naegele’s Rule for a woman who has had their Last Menstrual Period (LMP) on: LMP: Oct 27, 2019arrow_forwardIdentify the exposures and outcomes from the following statements and match as appropriate. (There are more options than needed). Researchers are interested to know whether laws prohibiting texting while driving have led to a reduction in road traffic accidents. Regular intake of fish that are rich in mercury during pregnancy could lead to nervous system damage of the fetus Neural tube defects in the fetus can be prevented by regular folic acid supplementation in women who are pregnant and/or planning to be pregnant As a researcher, you are curious…arrow_forward
arrow_back_ios
SEE MORE QUESTIONS
arrow_forward_ios
Recommended textbooks for you
- Nutrition Through The Life CycleHealth & NutritionISBN:9781337919333Author:Brown, Judith E.Publisher:Cengage Learning,
Nutrition Through the Life Cycle (MindTap Course ...Health & NutritionISBN:9781305628007Author:Judith E. BrownPublisher:Cengage Learning
Nutrition Through The Life Cycle
Health & Nutrition
ISBN:9781337919333
Author:Brown, Judith E.
Publisher:Cengage Learning,
Nutrition Through the Life Cycle (MindTap Course ...
Health & Nutrition
ISBN:9781305628007
Author:Judith E. Brown
Publisher:Cengage Learning