Question

Evaluate her diet recall for nutrients and food groups, calculate her caloric intake.

A.K is a 32 yr old female, G3P2LOAD, she is currently at week 28 of gestation. Her pre-pregnancy weight was 65Kg and her height is 161cm. Her current weight is 78kg. Her physical activity level is considered low. A.K is a non-smoker, she was an occasional alcohol drinker before pregnancy and she currently does not drink alcohol. Her pregnancy was planned and she met with her physician for a prenatal visit about 2 months before the pregnancy. At the beginning of her pregnancy she was suffering from nausea and vomiting and now she is suffering from gastro esophageal reflux. A typical day is as follows: Breakfast 1 c of Coffee (1tsp instant coffee). 1 c of non-fat milk 2 slices of bread with 1\4 a cup of cottage cheese Snack: 1 cup of fresh orange juice from small shop under her house Lunch: 4 oz of steak (lean) 1 1/3 cups of rice 1 cup of salad (with 1 tsp fat free salad dressing) 1 can of Diet coke Snack I medium doughnut Cake, plain Dinner 2 slices of bread with 1 cup yellow lentils 60 gm turkey hotdog (which she purchased from the supermarket on her way home) 1 small apple and 3 dates Snack 1 Regular muffin

Answer 1

The recommended Calorie intake during third trimester is about 2400 Cal per day.

Break fast	Snack	Lunch	Snack	Dinner	Snack
1 c coffee 1c non fat milk 2slice bread & ¼ cup cottage cheese	1cup fresh orange juice	4 oz steak 11/3 cups rice 1 cup salad 1can diet coke	Medium doughnut cake	2 slice bread 1cup yellow lentils 60gm turkey hotdog 1 small apple 3 dates	Regular muffin
260 calories	Calorie 110 Protein 2g Vitamin C 67% Potassium 10% Magnesium 6% Folate 15%	Calories 678	198 calories, protein 2.35 gm, Calcium 2%, Iron 5%, Potassium and Vitamin A	Calories 546	201 calories, Protein 5 gm, Calcium 11%, Iron 9%, Potassium and Vitamin A

   From the diet chart given , the total calorie intake is 1993 or approximately 2000 Calories only. She needs to add 400 calories more to her diet.

Break fast:

2 slice bread: provides Calorie 140, Protein 8gm, Fibre 2 gm

Coffee has 1 calorie and no much nutrients to provide.

No fat or skimmed milk 1 cup has 80 calories, 30% calcium needed, 8g Proteins, potassium, phosphorus, vitamins A, D and B12, riboflavin and niacin.

1/4cup cottage cheese provides Calories: 40 ,Protein: 7 gram,Phosphorus: 7% of the Reference Daily Intake (RDI), Sodium: 7% of the RDI, Vitamin B12: 6% of the RDI, Riboflavin: 5% of the RDI, Calcium: 4% of the RDI.

Lunch:

Steak 4 oz: Calorie 238, Protein 35g, Sodium 64mg ,Potassium 398mg ,Iron 20%

11/3 cup rice(248gm): Calorie 322,Protein 6gm,Iron 34%,Potassium 54 mg

Diet coke: Calorie 4,Sodium 40mg

Salad I cup: Calorie 114 Protein 3.7g Sodium 375mg milligrams , Potassium 335mg milligrams, Vitamin A 66% RDI,Vitamin C 97% RDI,Calcium 10% RDI, Iron 5% RDI.

Dinner:

2 slice bread: provides Calorie 140, Protein 8gm, Fibre 2 gm

1 cup yellow lentils: contains Calories: 230 ,Protein: 17.9 grams, Fiber: 15.6 grams, Thiamine: 22% ,Niacin: 10%, Vitamin B6: 18%, Folate: 90% of the RDI, Folate, Magnesium, Potassium, Zinc, copper etc

Turkey 60 gm (1/4 cup): provides Calorie: 84 ,Protein 34gm ,Vitamin B6 74%

Small Apple: gives Calorie 60, Potassium 6%, Vitamin c 14% and Traces of minerals and vitamins

Dates (3numbers): provide 32 Calories and traces of minerals.

(Refer the column for the nutritional value of snacks)