1. SC115
Unit eight
Prof. Melissa Mouton, MS, RD, LD

2. Assessing nutrition status during pregnancy:
Rita: 33 pregnant female, 5 feet 5 inches tall; weight 145lbs.
4 months pregnant
Has gained 7 pounds since becoming pregnant
Diet has not changed since becoming pregnant
Before pregnancy calorie needs: 2500
Insu.lation – keeps body heat in and cold out
Cushion – at least 50% of fat stores are located right under the skin. Store fat in adipose cells; can increase 20x in weight. Limitless ability to store fat. We increase # of fat cells during late childhood, early adolescence, pregnancy and extreme weight gain.
Transport – fat soluble vitamins, cholesterol and hormones
Cell membrane structure
Satiety
Store energy in food and body; prevent protein from being used as energy
Hormones
Needed for normal growth in developing infants and children
Role in proper fxn of immune system
Like carb, it spares protein for repair and rebuilding of tissues

3. Assessing nutrition status during pregnancy:
Is Rita eating enough calories? How many calories does she need for pregnancy?
How much weight should she gain during her pregnancy?
Her current protein intake is about 55g/day. Is this enough for pregnancy?
Is her caffeine intake within acceptable range for pregnancy?
Is she getting enough Vitamin D, calcium and iron?
Insu.lation – keeps body heat in and cold out
Cushion – at least 50% of fat stores are located right under the skin. Store fat in adipose cells; can increase 20x in weight. Limitless ability to store fat. We increase # of fat cells during late childhood, early adolescence, pregnancy and extreme weight gain.
Transport – fat soluble vitamins, cholesterol and hormones
Cell membrane structure
Satiety
Store energy in food and body; prevent protein from being used as energy
Hormones
Needed for normal growth in developing infants and children
Role in proper fxn of immune system
Like carb, it spares protein for repair and rebuilding of tissues

4. Optimum Weight Gain in Pregnancy
Pre-Pregnancy Weight
Recommended Weight Gain
Underweight
(BMI less than 18.5)
28-40
Healthy weight
(BMI between 18.5 to 24.9)
25-35
Overweight
(BMI between 25 to 29.9)
15-25
Obese
(BMI greater than 30)
15 pounds at least
28 – 40 pounds
25 to 35 pounds
15 to 25 pounds
15 pounds at least

5. Assessing nutrition status during pregnancy:
Rita has heard many "old wives tales" and received much advice about pregnancy from friends and relatives. She wonders if any of it is true.
Make a minimum of five dietary changes to Rita's diet. Then identify the specific nutrient(s) that you are either trying to increase and/or decrease in her diet with the dietary modification.
Why are these nutrients important for a healthy pregnancy?
Is Rita at high risk for preeclampsia? If so, suggest changes to Rita's diet that could help lower her risk for developing it.
Insu.lation – keeps body heat in and cold out
Cushion – at least 50% of fat stores are located right under the skin. Store fat in adipose cells; can increase 20x in weight. Limitless ability to store fat. We increase # of fat cells during late childhood, early adolescence, pregnancy and extreme weight gain.
Transport – fat soluble vitamins, cholesterol and hormones
Cell membrane structure
Satiety
Store energy in food and body; prevent protein from being used as energy
Hormones
Needed for normal growth in developing infants and children
Role in proper fxn of immune system
Like carb, it spares protein for repair and rebuilding of tissues