Amy is a 17-year-old who is at 24 weeks of gestation. She is attending high school and lives with the father of her baby
Posted: Wed Apr 20, 2022 8:38 am
Amy is a 17-year-old who is at 24 weeks of gestation. She is attending high school and lives with the father of her baby. During her health checkup at the community center clinic, she complained of feeling tired most of the time. A blood sample was drawn and analyzed; her hemoglobin level was 8.5 mg/dl and hematocrit was 30 percent. The normal hemoglobin value is 12 to 16 g/dl and hematocrit 37 to 47 percent. Typically, many physiological and biochemical changes occur during pregnancy, but Amy’s blood values were lower than what is usual. Amy indicated that she is still smoking three packs of cigarette a day because she is worried about gaining too much weight. She has only visited the community center clinic twice since she found out she was pregnant, and she has stopped taking her prenatal vitamins because one of her friends told her that the vitamins can cause constipation. She continues to wear the clothes she wore before the pregnancy even though the clothes are tight on her. The nurse at the clinic referred Amy to the local WIC program for more assessment. Additional assessment showed that Amy’s weight for height (BMI) was less than 18.5, and she had spoon-shaped fingernails on two fingers. The dietitian assessed Amy’s dietary intake using a 24-hour recall and the Nutritional Risk Score (see TABLE 8-8). Her 24-hour recall showed a lack of some of the essential nutrients such as protein, iron, folate, calories, and some vitamins. Amy’s Nutritional Risk Score was less than 50. Her daily caloric intake was 1,000 kcal per day. She likes to drink espresso, at least 4 cups a day. Amy’s present income is at 185 percent of the U.S. poverty guidelines. The WIC dietitian asked Amy if she wants to breastfeed her baby and if she could attend a workshop on breastfeeding.
Complete #s 2, 4, 16, 25, 29 (2 points each)
2) What are some of the physiological and biochemical changes that occur during a normal pregnancy?
4) Amy’s BMI was assessed at less than 18.5. What is the recommended range of weight gain for a woman of her weight and height? What is the typical weight distribution during pregnancy?
16) List three possible barriers to breastfeeding and the possible solutions to overcome these barriers.
25) What are three of the guidelines for successful breastfeeding?
29)Amy is smoking three packs of cigarettes a day. What are the consequences of cigarette smoking during pregnancy?
Complete #s 2, 4, 16, 25, 29 (2 points each)
2) What are some of the physiological and biochemical changes that occur during a normal pregnancy?
4) Amy’s BMI was assessed at less than 18.5. What is the recommended range of weight gain for a woman of her weight and height? What is the typical weight distribution during pregnancy?
16) List three possible barriers to breastfeeding and the possible solutions to overcome these barriers.
25) What are three of the guidelines for successful breastfeeding?
29)Amy is smoking three packs of cigarettes a day. What are the consequences of cigarette smoking during pregnancy?