1. NUTRITION IN PREGNANCY Developed by D. Ann Currie, R.N., M.S.N.

2. NUTRITION IN PREGNANCY PLAYS SIGNIFICANT ROLE IN THE OUTCOME OF THE PREGNANCY FETAL WELL-BEING PREVENTION AND TREATMENT OF HIGH RISK PREGNANCIES INTEGRAL PART OF NURSING CARE OF PREPREGNANT AND PREGNANT CLIENTS

3. NURSE’S ROLE PRECONCEPTION EDUCATION ASSESSMENT OF NUTRITIONAL STATUS PLANNING NUTRITIONAL CARE CLIENT EDUCATION CLIENT ADVOCATE PROVIDE RESOURCES REFFERALS

4. FACTORS AFFECTING PRENATAL NUTRITION NUTRITIONAL STATUS PRIOR TO PREGNANCY MATERNAL AGE MATERNAL PARIETY SUBSTANCE USE CLIENT’S EDUCATION OTHER

5. SPECIAL CONSIDERATIONS AFFECTING NUTRITION CULTURAL, ETHNICAL,OR RELIGIOUS INFLUENCES VEGETARIANISM EATING DISORDERS LACTOSE INTOLERANCE PICA SUBSTANCE USE PSYCHOSOCIAL FACTORS SOCIOECONOMIC FACTORS EDUCATION PSYCHOLOGICAL FACTORS

6. CONT. SPECIAL CONSIDERATIONS MATERNAL AGE DIETARY PATTERNS DISEASES AND/OR MEDICAL CONDITIONS OTHER

7. PRECONCEPTION CARE HEALTH PROMOTION NUTRITION-HEALTHY DIET INCLUCING FOLIC ACID. ADEQUATE FLUID INTAKE EXERCISE REST AVOIDANCE OF SUBSTANCES ABUSE

8. PLANNING NUTRITIONAL CARE ASSESSMENT NSG DIAGNOSIS PLANNING INTERVENTIONS EDUCATION EVALUATION

9. DIETARY RECOMMENDATIONS DURING PREGNANCY CALORIES FLUIDS-WATER PROTEIN CARBOHYDATES FAT VITAMINS-FAT SOLUBLE & WATER SOLUBLE MINERALS- FE,CALCIUM, ZINC,&OTHERS

10. BODY MASS INDEX (BMI) BMI=WT/HT²……KG/M² BMI-below19.8-UNDERWEIGHT-WT GAIN OF12.5-18 KG. BMI-19.8-26-NORMAL-WT.GAIN OF 11.5- 16 KG. BMI-26-29-OVERWEGHT-WT GAIN OF 7- 11.5 KG. BMI OVER 29-OBESE-WT. GAIN OF 7KG.

11. MORE ON WT. GAIN IN PREGNANCY 1ST TRIMESTER-WT. GAIN OF 1-2.5 KG THEN:0.4 KG WEEKLY FOR NORMAL BMI,0.3 KG WEEKLY FOR OVERWEIGHT BMI,0.5 KG WEEKLY FOR UNDERWEIGHT BMI CLIENTS NO INCREASE IN CALORIES IN 1ST TRIMESTER ADDITIONAL 300 CALORIES/DAY IN 2ND AND 3RD TRIMESTERS

12. MORE ON WEIGHT GAIN TEENNAGERS SHOULD GAIN HIGHER AMOUNT OF BMI--IE --A TEENAGER WITH BMI OF 22 SHOULD GAIN 16KG. OR 35.2 LBS.