Post With At Least 250 Words, Containing 2 Professions
Post With A Minimum Of 250 Words Must Contain At Least 2 Professiona
Post with a minimum of 250 words must contain at least (2) professional references, properly cited in the current APA format . Discussion Topic Sarah is 28 years old and 7 months pregnant with her third child. Her other children are aged 2½ years and 1 ½ years. She had uncomplicated pregnancies and deliveries. Sarah is 5 ft 6 in tall; she weighed 142 pounds at the beginning of this pregnancy, which made her prepregnancy BMI 23. She has gained 24 pounds so far. Prior to her first pregnancy, her BMI was pounds). She is unhappy about her weight gain, but the stress of having two young children and being a stay-at-home mom made losing weight impossible. She went online for her MyPlate plan, which recommends she consume 2400 cal/day. She doesn't think she eats that much because she seems to have constant heartburn. She takes a prenatal supplement, so she feels pretty confident that even if her intake is not perfect, she is getting all the nutrients she needs through her supplement. A typical day's intake for her is shown below: Breakfast: Cornflakes with whole milk (because the children drink whole milk), Orange juice Snack: Bran muffin and whole milk Lunch: Either a peanut butter and jelly sandwich or tuna fish sandwich with mayonnaise, Snack crackers, Whole milk, Pudding or cookies Snack: Ice cream Dinner: Macaroni and cheese, Green beans, Roll and butter, Whole milk, Cake or ice cream for dessert Evening: Chips and salsa Does she have any risk factors for a high-risk pregnancy? Evaluate her prepregnancy weight and weight gain thus far. How much total weight should she gain? Based on the 2400-calorie meal pattern in Figure 11.1, what does Sarah need to eat more of? What is she eating in more than the recommended amounts? How would you suggest she modify her intake to minimize heartburn? What would you tell her about weight gain during pregnancy? What strategies would you suggest to her after her baby is born that would help her regain her healthy weight? Is her attitude about supplements appropriate? What would you tell her about supplements? Devise a 1-day menu for her that would provide all the food she needs in the recommended amounts and alleviate her heartburn.
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Post With A Minimum Of 250 Words Must Contain At Least 2 Professiona
Sarah's current prenatal status presents several nutritional and health considerations, particularly given her weight gain, dietary habits, and pregnancy stage. Her pre-pregnancy BMI of 23 classifies her as within the normal weight range, indicating a healthy starting point. However, her total weight gain of 24 pounds, which surpasses the recommended gain of approximately 25-35 pounds for her gestational age and BMI (American College of Obstetricians and Gynecologists, 2019), warrants careful monitoring. Excessive weight gain during pregnancy increases the risk of gestational hypertension, gestational diabetes, and complications during delivery (Hutton & Haines, 2014). Moreover, her reported constant heartburn suggests that her diet might include foods and portion sizes contributing to gastroesophageal reflux, common in late pregnancy.
Sarah's dietary intake primarily features high-calorie, low-nutrient foods such as ice cream, cookies, chips, and macaroni and cheese, which provide excessive saturated fats and added sugars, exceeding recommended levels (U.S. Department of Agriculture, 2023). To meet her nutritional needs and minimize heartburn, she should increase intake of fruits, vegetables, lean proteins, and whole grains, while reducing foods high in fats and sugars that contribute to reflux.
She should aim for a total weight gain close to 25-35 pounds based on her initial BMI and gestational age, with gradual, balanced weight increases. Dietary modifications, such as eating smaller, more frequent meals, avoiding spicy and greasy foods, and staying upright after meals, can help reduce heartburn (National Institute of Diabetes and Digestive and Kidney Diseases, 2021).
Postpartum, dietary strategies focusing on nutrient-dense, balanced meals with controlled portions and regular physical activity can support weight loss and overall health. Her current attitude toward supplements seems appropriate, given the potential gaps in her diet. However, prenatal vitamins should supplement, not replace, proper food intake, emphasizing the importance of dietary diversity.
A sample one-day menu tailored for Sarah should include balanced servings of fruits, vegetables, whole grains, lean proteins, and dairy, while avoiding foods that exacerbate heartburn. For example, low-fat yogurt with bananas, grilled chicken with roasted vegetables, and oatmeal could replace high-fat foods and alleviate reflux symptoms.
In conclusion, careful nutritional monitoring, dietary modifications, and postpartum weight management strategies are essential for Sarah’s health and the health of her developing baby.
References
- American College of Obstetricians and Gynecologists. (2019). Weight gain during pregnancy. ACOG Practice Bulletin No. 190. Obstetrics & Gynecology, 133(2), e30–e42.
- Hutton, E. K., & Haines, P. S. (2014). Nutrition during pregnancy and lactation. In M. A. Zuckerman & C. S. B. Schilds (Eds.), Williams Obstetrics (25th ed., pp. 147-169). McGraw-Hill Education.
- National Institute of Diabetes and Digestive and Kidney Diseases. (2021). Heartburn, indigestion, and gastroesophageal reflux disease (GERD). NIH Publication No. 21-4423.
- U.S. Department of Agriculture. (2023). MyPlate guidelines for pregnancy. USDA.