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Nutritional Health in Pregnancy

The document discusses nutritional health during pregnancy. It covers recommended weight gain, nutrient needs, national health goals, the nursing process, assessing nutritional status, potential nursing diagnoses, outcomes, common nutritional problems experienced during pregnancy and nursing care. Specific issues covered include adequate calorie, protein, vitamin and mineral intake, lifestyle factors, nausea, heartburn, high cholesterol, and the needs of women with unique conditions.
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0% found this document useful (0 votes)
471 views5 pages

Nutritional Health in Pregnancy

The document discusses nutritional health during pregnancy. It covers recommended weight gain, nutrient needs, national health goals, the nursing process, assessing nutritional status, potential nursing diagnoses, outcomes, common nutritional problems experienced during pregnancy and nursing care. Specific issues covered include adequate calorie, protein, vitamin and mineral intake, lifestyle factors, nausea, heartburn, high cholesterol, and the needs of women with unique conditions.
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • The Nursing Role in Promoting Nutritional Health During Pregnancy
  • Assessing Nutritional Health During Pregnancy
  • Nursing Process in Nutrition During Pregnancy
  • 2020 National Health Goals Related to Nutrition in Pregnancy
  • Nursing Diagnoses: Nutritional Health During Pregnancy
  • Nursing Care to Promote Nutritional Health During Pregnancy
  • Advanced Considerations for Nutritional Care

Chapter 13

The Nursing Role in Promoting Nutritional Health During Pregnancy

Maternal Nutrition and Fetal Health #1

❖ Weight gain during pregnancy

o Average woman should gain 25 to 35 lb.

o Weight gain

▪ During the first trimester, occurs at approximately 0.8 kg (1.5 lb) per month

▪ During the last two trimesters, 0.4 kg (1 lb) per week

❖ Components of healthy nutrition

o Calorie needs

o Protein needs

o Fat needs

o Vitamin needs

o Mineral needs

❖ Calcium and phosphorus

❖ Iodine

❖ Iron

❖ Fluoride

❖ Sodium

❖ Zinc

o Fluid needs
o Fiber needs

o Foods to avoid or limit

❖ Alcohol

❖ Caffeine

❖ Artificial sweeteners

❖ Weight-loss diets

2020 National Health Goals Related to Nutrition in Pregnancy

❖ Reduce iron deficiency among pregnant women from a baseline of 16.1% to 14.5%.

❖ Increase the proportion of women of childbearing potential with intake of at least 400 µg of folic
acid from fortified foods or dietary supplements from a baseline of 23.8% to a target of 26.2%.

❖ Increase the proportion of women who achieve a recommended weight gain during their
pregnancies.

Nursing Process: Nutritional Health During Pregnancy

❖ Assessment

❖ Nursing diagnosis

❖ Outcome identification and planning

❖ Implementation

❖ Outcome evaluation

Assessing Nutritional Health During Pregnancy #1


❖ Lifestyle considerations

o Family

o Financial

o Cultural

Nursing Diagnoses: Nutritional Health During Pregnancy #1

❖ Imbalanced nutrition, less than body requirements, related to increased physiologic needs

❖ Imbalanced nutrition, less than body requirements, related to nausea every morning

❖ Health-seeking behaviors related to determining best food choices in pregnancy

❖ Imbalanced nutrition, more than body requirements, related to chronic poor eating habits

❖ Deficient knowledge related to need for increased intake of nutrients and calories during
pregnancy

Outcomes: Nutritional Health During Pregnancy

❖ Patient demonstrates weekly menus that include three main meals and two snacks per day.

❖ By next prenatal visit, patient demonstrates knowledge of meat and nonmeat sources of protein
by providing menus of meals eaten in the last week that include fish, eggs, beans, or peanut
butter.

❖ Patient verbalizes correct information about calcium needs during pregnancy.


Nursing Care to Promote Nutritional Health During Pregnancy #3

❖ Common problems affecting nutritional health

o Cravings of nonfood substances (pica)

▪ Referral to primary care provider for iron-deficiency anemia evaluation

o Diminished gastric mobility

▪ Dietary measures; regular bowel evacuation; stool softener or evacuation


suppository if needed

o Pyrosis

▪ Eat small meals frequently; sleep on left side with two pillows to elevate upper
torso; wait 2 hours after eating before laying down; avoid fatty and fried foods,
coffee, carbonated beverages, tomato products, citrus juice

o Hypercholesterolemia

▪ Exercise daily; eat oat cereal; broil, grill, or bake meat; use minimum salad oils;
substitute omega-3 products for butter; eat fish high in omega-3 oil

Nursing Care to Promote Nutritional Health During Pregnancy #6

❖ Woman with unique needs

o Adolescent

o Older than 40 years of age

o Stressful lifestyle

o Decreased nutritional stores

o Underweight

o Overweight

o Vegetarian

o Phenylketonuria

o Multiple pregnancy

o Smoker or uses drug or alcohol

o Health problems

o Culturally prepared foods

o Lactose intolerance
o Bariatric surgery

o Hyperemesis gravidarum

❖ Severe nausea and vomiting

❖ Unable to maintain usual nutrition

❖ Therapeutic management

Common questions

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Nurses can assess nutritional imbalance caused by hyperemesis gravidarum through evaluating the patient's dietary intake and symptoms of severe nausea and vomiting. They can address these imbalances by suggesting therapeutic management to maintain nutrition, such as providing a personalized dietary plan that includes nutrient-dense foods that are less likely to trigger nausea, and possibly coordinating care with healthcare providers for intravenous nutrition or antiemetic medications if oral intake is insufficient .

A stressful lifestyle can lead to nutritional imbalances due to irregular eating patterns, and choices of convenience foods that may not be healthy, and increased cravings. Care can be adjusted by providing stress management strategies and counseling on healthy, stress-relief-oriented eating habits. Additionally, healthcare providers might recommend meal planning and preparation techniques that fit into a busy lifestyle to ensure balanced nutrition .

To mitigate pyrosis, it is recommended that pregnant women eat small meals frequently, sleep on the left side with two pillows to elevate the upper torso, wait 2 hours after eating before laying down, and avoid fatty and fried foods, coffee, carbonated beverages, tomato products, and citrus juice. These strategies help minimize gastric reflux and reduce discomfort by decreasing stomach acid production and taking advantage of gravity to prevent acid from rising up the esophagus .

The target National Health Goals related to nutrition in pregnancy include reducing iron deficiency among pregnant women from a baseline of 16.1% to 14.5% and increasing the proportion of women with an intake of at least 400 µg of folic acid from fortified foods or supplements from a baseline of 23.8% to 26.2%. These goals are significant because achieving them can help prevent birth defects, support healthy pregnancies, and reduce complications such as anemia .

Culturally prepared foods can impact nutritional health during pregnancy by either providing nutrients essential for fetal and maternal health or being limited in vital nutrients due to traditional cooking methods or ingredient restrictions. Healthcare providers play a crucial role by being culturally sensitive, recognizing these dietary practices, and counseling women on how to incorporate necessary nutrients into their traditional diets while respecting cultural preferences .

Iron intake is prioritized to prevent iron-deficiency anemia, which can lead to complications such as premature birth or low birth weight. Folic acid is critical for preventing neural tube defects and ensuring proper fetal development. Nutritional plans for pregnant women stress the intake of these nutrients through fortified foods or supplements, aligning with national health goals to improve maternal and fetal health outcomes .

Pregnant women over the age of 40 may face challenges such as decreased nutritional stores and higher risks of gestational diabetes and hypertension. Recommendations to address these challenges include monitoring blood glucose levels regularly, ensuring adequate nutrition by increasing intake of critical vitamins and minerals, such as calcium and Vitamin D, and possibly working with healthcare professionals to develop a tailored dietary and exercise plan to maintain optimal health .

Pregnant adolescents have unique nutritional needs because they are still growing and thus have higher needs for many nutrients compared to adults. Strategies to support their nutritional health include providing education about the importance of a balanced diet, encouraging the intake of nutrient-rich foods, and ensuring regular health check-ups to monitor nutritional status and fetal growth. Access to supplementary nutrition programs and peer support groups may also be beneficial .

During the first trimester, weight gain occurs at approximately 0.8 kg (1.5 lb) per month, whereas during the last two trimesters, weight gain is approximately 0.4 kg (1 lb) per week .

Critical components of healthy nutrition during pregnancy include adequate calories, proteins, fats, vitamins, and minerals such as calcium, phosphorus, iodine, iron, fluoride, sodium, and zinc. These nutrients support fetal development and maternal health. Calcium and phosphorus are essential for fetal bone development, while iron is crucial for preventing anemia and supporting an increased blood supply .

Chapter 13
The Nursing Role in Promoting Nutritional Health During Pregnancy
Maternal Nutrition and Fetal Health #1
❖Weight g
o
Fiber needs
o
Foods to avoid or limit
❖Alcohol
❖Caffeine
❖Artificial sweeteners
❖Weight-loss diets
2020 National Health Goa
❖Lifestyle considerations
o
Family
o
Financial
o
Cultural
Nursing Diagnoses: Nutritional Health During Pregnancy #1
❖Imbalanc
Nursing Care to Promote Nutritional Health During Pregnancy #3
❖Common problems affecting nutritional health
o
Cravings of no
o
Bariatric surgery
o
Hyperemesis gravidarum
❖Severe nausea and vomiting
❖Unable to maintain usual nutrition
❖Therapeutic man

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