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17 Cards in this Set
- Front
- Back
During pregnancy, how much more does a pt need to eat (calorie wise)
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only 300 calories more or so
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as the pregnancy progresses, what happens to a woman's required calorie intake?
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you must increase it even into lactation...but remember it isn't like double, it just increases it
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greatest risk of preterm delivery is?
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underweight women
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just know that w/ pregnancy/lactation you need to increase vitamin intake
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as the pregnancy progresses
also note that American diets might already have more than enough protein, so you don't necessarily need to increase this |
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When is it most important to have Folic acid?
if you don't have it, what is the baby at risk for? |
24-28 days post conception
Neural tube defects |
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increased amount of what Vitamin can lead to developmental problems?
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Vitamin A
most dangerous effects are Cardiac (also cranium, face, thymus and CNS) effect is greatest early in pregnancy |
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deficiency in what Ion can lead to preterm delivery?
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Mg
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in a young pt who is pregnant and still developing herself, what is an important Ion that should be supplemented?
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Calcium
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a female is considered "biologically immature" if what?
why is this important during pregnancy? |
“Biologically immature” if < 4 yrs. postmenarche
so must meet regular growing needs and pregnancy needs |
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gestational diabetes
hypertension pre-eclampsia perinatal mortality need for induced labor or C-Section are increased risks associated with? |
Obesity
fatty fatterton |
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Caffeine can cause what problem in pregnancy?
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Miscarriage risk is increased
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poor growth, MR, abnormalities of face, ears, joints, limbs, heart can be side effects of what?
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EtOH
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What are some of the breast-feeding benefits? 4
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Decreased incidence of:
**Gastrointestinal disorders **Respiratory infections **Rashes **Otitis media Less infection, better bonding with mom, better development |
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What are some of the contraindications of breast feeding?
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HIV infection
Hepatitis B (if surface antigen +) Active (untreated) TB Acute peripartum varicella Some medications/recent immunizations Refer to lactation drug text (not PDR) |
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at what weight loss does a baby need some type of intervention?
***TEST |
10% of birth weight loss
baby is not being fed adequately |
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POINTS TO REMEMBER:
FLIP AND READ *** |
Expect weight loss up through the first seven (7) days of life
Regain to birth weight by two (2) weeks of age Weight loss of > 10% birth weight is a red flag Interventions can help, breast feeding can go on to be very successful (close follow-up is essential) |
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Pregnancy Vs. Lactation
Which requires more calories? |
Lactation needs about 600 kcal/day
Pregnancy needs about 300 kcal/day |