Healthy maternal adaptation to pregnancy

1. Indicate the importance of each of the following nutrients for healthy maternal adaptation to pregnancy and optimum fetal growth and development. Indicate three food/fluid sources for each of the nutrients.

1.  When assessing pregnant women, it is critical that nurses are alert for factors that could place women at nutritional risk so that early intervention can be implemented. Name five such indicators or risk factors of which the nurse should be aware

1. Cite the pregnancy-related risks associated with the following nutritional problems.

a. Underweight women

b. Inappropriate weight gain during pregnancy (inadequate; excessive)

c. Obese women

1.  At her first prenatal visit, Marie, a 20-year-old primigravida, reports that she has been a strict vegetarian for the past 3 years. Identify two major guidelines that the nurse should follow when planning menus with Marie.

1. Evaluation of nutritional status is an essential part of a thorough physical assessment of pregnant women. Cite four signs of good nutrition and four signs of inadequate nutrition that the nurse should observe for during the assessment of a pregnant woman.

1.  Calculate the BMI for each of the following women, and then determine the recommended weight gain and pattern for each woman based on her BMI

1. Identify three nursing measures appropriate for each of the following nursing diagnoses:

a. Imbalanced nutrition: less than body requirements related to inadequate intake associated with moderate nausea and vomiting (morning sickness) associated with pregnancy

b. Constipation related to decreased intestinal motility associated with increased progesterone levels during pregnancy

c. Pain related to reflux of gastric contents into esophagus following dinner