Question

file://C/Users/cositDownloads/Anthropometric%20and%20Assessment%20Assignment.pdf Assessment activity Please type the assignment. (10 pts.) This project requires critical thinking process where you will need to think about what information you will need from the patient to counsel her for optimal pregnancy outcome. HSCI 365 Due February 7, 2019 You, as a RDN, are to perform a nutrition assessment on a 25-year old pregnant woman, Mary, and you gathered the following information from Mary: She is in her 16th week of pregnancy (she is in which trimester?) Her pre-pregnancy weight: 165lb, height: 5 ft 3 inches Her present weight: 155 lb, due to morning sickness" she is unable to keep the food down She is a single mother and this is her first pregnancy, she lives in a studio apartment near her work with a small refrigerator, a two-burners stove, microwave oven, toaster oven, and some small appliances that she bought for herself She is a waitress in a fairly busy chain restaurant, working full time from 11 AM to 7:30 PM with one- half hour (30 minutes) break for lunch and dinner and a 15 min break during the work day, where the meals are provided by the restaurant to be chosen from the menu. She is contemplating whether she should breastfeed or not.

please help and explain...

Answer 1

1. Mary pre-pregnancy weight is 165lb and BMI is 29.2 At this time her weight is 155lb and the BMI is 27.5 Kg/,m2. Her BMI shows little high for her age. As he is the second trimester of pregnancy, she should gain at least 15 to 20 pounds during her whole pregnancy. She should increase an average weight gain of 2 to 3 pounds every month so that she can attain the overall weight gain at the end of the pregnancy.

2. The biochemical test used to assess the nutritional status of pregnant women includes

• Hemoglobin
• Hematocrit
• Serum albumin and protein
• Serum iron
• Serum folate
• Liver function test
• Blood Glucose level.

3. Recommendations to reach the weight gain during pregnancy:

• Increase intake 1400kilojoules per day.
• Eat five small frequent meals.
• Drink more fluids.
• Do regular exercise.
• Take skimmed milk and low-fat diet.
• Include more vegetables and fruits in serving.
• Include iron, calcium, folic acid and other nutrients in the diet.
• Avoid junk food.

4. I need to know the additional information of

• What is her dietary pattern?
• What is included in her daily plate?
• Did she do regular exercise?
• What is her daily calorie intake and burn out?
• What is the duration of her sleeping? IS it enough for her?
• Did she have any habits of alcohol, smoking, substance use?

5. Some questions I need to ask her about breastfeeding are

• Did she know the importance of breastfeeding?
• Did she know the frequency, duration, of breastfeeding needed for a newborn?
• What are all benefits of breastfeeding?
• Can you interested in learning breastfeeding techniques?
• What is her thought about maternal bonding?

6. Mary refer the services of

• Obstetrician and gynecologists service center
• Pregnancy counselor
• Maternal and child health services
• Single parent services
• Kidshealth services
• Vaccination services.

7. Recommendations for mary will include

• Increase the weight gain to 2 to 3 pounds every month.
• Take small frequent low-fat meals every day.
• Do regular walking of at least 30 minutes.
• Do regular checkups.
• Maternal counseling.
• Prepare for the postpartum period.