A goal for Person S for weekly weight gain provided that the total pregnancy gain at the midpoint of the recommended range for weight gain in twin pregnancy is to be achieved. Introduction: In multi fetal pregnancy, weight gain and nutritional factors are important factors in determining the health of the mother. According to the Institute of Medicine, provisional weight gain during twin pregnancies is as follows: Current weight status of woman Weight gain (in kg) Normal weight 17-25 Overweight 14-23 Obese 11-19 Weight gain in twin pregnancy is a positive indicator of increased birth weight.

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At 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…

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Chapter 5, Problem 3.1CS

Summary Introduction

To determine: A goal for Person S for weekly weight gain provided that the total pregnancy gain at the midpoint of the recommended range for weight gain in twin pregnancy is to be achieved.

Introduction: In multi fetal pregnancy, weight gain and nutritional factors are important factors in determining the health of the mother. According to the Institute of Medicine, provisional weight gain during twin pregnancies is as follows:

Current weight status of woman Weight gain (in kg)
Normal weight 17-25
Overweight 14-23
Obese 11-19

Weight gain in twin pregnancy is a positive indicator of increased birth weight.

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At 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…

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