Question

• Describe three differences in nutrient needs and cite two specific considerations for the delivery of effective nutritional care for women with multifetal pregnancy.

• Identify the components of nutritional care for women with HIV during pregnancy.

Answer 1

1. Increase in energy intake: 200 kcal/ day in first trimester, 400 kcal/day in second and 600 in third

Inclusion of more protein sources in diet

Increase in calcium intake especially in third trimester to 1600mg/day

Iron intake min of 30 mg/ day and folic acid at 800 mcg/day

two specific considerations include timing and method of delivery.

2. components of nutritional care for woman with hiv in pregnancy

• Nutrition assessment with anthropometry, biochemical tests etc
• Nutrition counselling
• micronutrient supplementation
• food provision
• food safety and hygiene
• Psychosocial support
• Referral to other services
• iron and folic acid supplementation to prevent anemia
• total energy requirement increases to 10% in asymptomatic phase and 30% in symptomatic.
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