Question

Sarah is 28 years old and 7 months pregnant with her third child. Her other children are 2-1⁄2 and 1-1⁄2 years old. She had uncomplicated pregnancies and deliveries. Sarah is 5' 6" tall; she weighed 142 pounds at the beginning of this pregnancy, which made her pre pregnancy BMI 23. She has gained 24 pounds so far. Prior to her first pregnancy, her BMI was 20 (124 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 My Plate plan, which recommends she consume 2,400 calories per day. She doesn’t think she eats that much because she seems to have constant heartburn. She takes a prenatal supplement, so she feels 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

Questions:

• Based on Sarah’s typical daily intake, pick one meal and analyze the macronutrient and micronutrients that may contribute to excess weight gain.
• What nutritional plan can help Sarah reduce heartburn.
• Discuss the factors that may contribute to a high-risk pregnancy.

Answer 1

CHIPS AND SALSA

TWO OZ OF CHIPS CONTAIN

MACRONUTRIENTS

300 calories and 47 gram carbs

fat-19 grams

protein 5 gm

100 grams of salsa (6tsp) contains 36 calories

MICRONUTRIENTS CONSIST OF MAINLY,

WATERSOLUABLE AND FATSOLUABLE VITAMINS,MINERALS AND WATER

fiber5gm daily value 20 percent

vitamin A 135g daily value 16 percent

vitamin C 18 MG DAILY VALUE 31 PERCENT CALCIUM100 MG DAILY VALUE 10 PERCENT

IRON0.8MG DAILY VALUE 10 PERCENT

chips are very high in fat ,refined carbs and salt ,so many studies support the view that these type of foods with refined carbs and fat will help increase weight

DIET TO DECRESE HEART BURN

Try to include more vegetables - because vegetables are low in fat

ginger-help diagestion and reduce heart burn

egg white and lean meats are another healthy option that defenitly will reduce heart burn

FACTORS CONTRIBUTE HIGH RISK PREGNANCY

- advanced maternal age - mothers older than 35 are at risk

-pregnancy complications such as foetal growth restriction ,abnormal placenta position can put pregnancy at risk

-multiple pregnancy

- lifestyle choices-smoking cigarettes ,drinking alcohol can put pregnancy at risk