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17 Cards in this Set

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During pregnancy, how much more does a pt need to eat (calorie wise)
only 300 calories more or so
as the pregnancy progresses, what happens to a woman's required calorie intake?
you must increase it even into lactation...but remember it isn't like double, it just increases it
greatest risk of preterm delivery is?
underweight women
just know that w/ pregnancy/lactation you need to increase vitamin intake
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
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
increased amount of what Vitamin can lead to developmental problems?
Vitamin A

most dangerous effects are Cardiac (also cranium, face, thymus and CNS)

effect is greatest early in pregnancy
deficiency in what Ion can lead to preterm delivery?
Mg
in a young pt who is pregnant and still developing herself, what is an important Ion that should be supplemented?
Calcium
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
gestational diabetes
hypertension
pre-eclampsia
perinatal mortality
need for induced labor or C-Section

are increased risks associated with?
Obesity

fatty fatterton
Caffeine can cause what problem in pregnancy?

*
Miscarriage risk is increased
poor growth, MR, abnormalities of face, ears, joints, limbs, heart can be side effects of what?
EtOH
What are some of the breast-feeding benefits? 4
Decreased incidence of:
**Gastrointestinal disorders
**Respiratory infections
**Rashes
**Otitis media

Less infection, better bonding with mom, better development
What are some of the contraindications of breast feeding?
HIV infection
Hepatitis B (if surface antigen +)
Active (untreated) TB
Acute peripartum varicella
Some medications/recent immunizations
Refer to lactation drug text (not PDR)
at what weight loss does a baby need some type of intervention?

***TEST
10% of birth weight loss

baby is not being fed adequately
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)
Pregnancy Vs. Lactation

Which requires more calories?
Lactation needs about 600 kcal/day

Pregnancy needs about 300 kcal/day