Nutrition During Pregnancy and Lactation An Implementation Guide (1992) / Chapter Skim
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What Does the Guidebook Contain? · a sample nutrition questionnaire to identify women who may be at nutritional risk; · weight gain charts for pregnant women; · a chart of prenatal weight gain recommendations; · a body mass index (BMI)
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Ways to Use This Bool< · Look in Tab 1 to finch forms and charts to assist with basic nutritional assessment. · Look in Tabs 2-5 to find current recommendations for basic nutritional care before, during, and after pregnancy.
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For more information on this, see the companion document Nutntion Services in PennataZ Care,5 which outlines the personnel requirements and the knowledge and skills needed to deliver nutrition services of varying degrees of compie~ty. Record Keeping Record keeping is a vital aspect of nutritional care clelivery that is not covered explicitly in this guidebook.
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The questionnaire is not meant to replace more extensive ones used in many practices. It is recommended primarily for practices that have not yet included a nutrition questionnaire as a part of routine health care.
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No Yes (circle all that apply) : Food stamps School breakfast W1C Donated food/commodities Food from a food pantry, soup kitchen, or food bank School lunch CSFP 10.
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16. Do you ever dunk beer, wine, liquor, or any other alcoholic beverages?
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2. Skipping meals one or more times daily, three or more times per week, may lead to inadequate nutrient intake or to the eating of large meals, which may cause discomfort.
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Grange juice is an important source of vitamin C and folate. Drinking of alcoholic beverages is not recommended for pregnant women or for women trying to conceive.
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Citrus fruits and juices, strawberries, and cantaloupe are especially good sources of vitamin C and folate. If no juices or fruits are eaten regularly, dietary guidance and vitamirtJmineral supplementation may be appropriate.
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Charts for Assessing Weight Body Mass Index Use the chart on page 14 to estimate the woman's prepregnancy body mass index (BMI) category.
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fill in the rest of the blanks along the left side of the grid, adding the prepregnancy weight to the weight gain shown at each horizontal line (for example, if the woman's prepregnancy weight was 121 Ib, 126 Ib is the prepregnancy weight plus a S-Ib gain, 131 ib is the prepregnancy weight plus a 10-Ib gain, and so on)
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Laboratory Tests anti Nutrient Supplements The selection of supplements clepencTs on the presence of anemia, as determined by analysis of hemoglobin or hematocrit, and the presence of risk factors, as determined by a history that includes diet and by physical examination. Begin routine iron supplementation for all pregnant women bv the 12th week of gestation.
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