Nutrition Through The Life Cycle
7th Edition
ISBN: 9781337919333
Author: Brown, Judith E.
Publisher: Cengage Learning,
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Chapter 5, Problem 2.4CS
Summary Introduction
To explain: The dietary recommendation of Person E that went wrong.
Introduction: Gestational diabetes is a
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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…
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.
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
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- Teresa'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_forwardMaha 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_forward
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