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NUR 2633 Exam 3 Study Guide / NUR2633 Exam 3 Study Guide (New, 2020, Version-2): Maternal Child Health Nursing : Rasmussen College (SATISFACTION GUARANTEED, Check REVIEWS of my 1000 Plus Clients) $15.49   Add to cart

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NUR 2633 Exam 3 Study Guide / NUR2633 Exam 3 Study Guide (New, 2020, Version-2): Maternal Child Health Nursing : Rasmussen College (SATISFACTION GUARANTEED, Check REVIEWS of my 1000 Plus Clients)

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NUR 2633 Exam 3 Study Guide / NUR2633 Exam 3 Study Guide (Latest): Maternal Child Health Nursing: Rasmussen College NUR2633 MCH Study Guide Test 3 / NUR 2633 MCH Study Guide Test 2 (Latest): Maternal Child Health Nursing: Rasmussen College NUR 2633 Maternal Child Exam 3 Study Guide / NUR2633 Mate...

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  • June 22, 2020
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NUR 2633 Exam 3 Study Guide


Nutrition during pregnancy

Requirements for calories and almost all nutrients increase during pregnancy.

Nutritional deficits at conception and during early prenatal period may influence the outcome of

the pregnancy.



Iron deficiency

Average iron in diet is 15-18mg per day; During pregnancy should be 72mg per day.

Increase lean meats, dark green leafy vegetables, egg, whole grain and enriched breads and

cereals.

To enhance absorption of iron, eat or take vitamin C, taking iron supplement with vitamin C

source such as orange juice to increase absorption of iron.



Hyperemesis Gravidarum

Excessive vomiting during pregnancy rare condition occurring in about 0.3% to 2% of all

pregnancies in which nausea and vomiting are so severe that they affect hydration nutritional

status.

Dehydration, electrolyte imbalance, acidosis, weigh loss, ketonuria and possibly hepatic and

renal damage are attributable to hyperemesis.

Treatment: Control vomiting, correct dehydration, restore electrolyte balance and maintain

adequate nutrition. Avoid environmental triggers such as odors, stuffy rooms, heat, humidity,

noise, visual or physical motion, brushing teeth after meals, and not getting enough rest.

, Small frequent meals of high carbohydrate, low fat content may be helpful. Carbonated or sour

beverages taken in small quantities between meals also help, pyridoxine (vitamin B6) is first line

pharmacological treatment alone or with doxylamine succinate an antihistaminethat improves

efficacy.



HIV

Transmission can occur during pregnancy and through breast milk.

Majority of infection occurs during labor/birth.

No prophylactic meds for HIV infected moms = about 25% risk of infection for newborn.

Mom who receives prophylactic antiviral therapy & gives birth by elective C-section @38 weeks

before rupture of membranes and avoids breasting feeding it reduces the risk to 2% or less.



Weight gain during pregnancy

Optimal weight gain depends on the woman’s weight for height (BMI) and her prepregnant

nutritional state.

Underweight- BMI 18.5 or below; Total: 28-40lbs; 1st& 2nd trimester: 1-1.3lbs weekly.

Normal weight- BMI 18.5-24.9; Total: 25-35lbs; 1st&2nd trimester: 0.8-1lb weekly.

Overweight- BMI 25-29.9; Total: 15-25lbs; 1st&2nd trimester: 0.5-0.7 weekly.

Obese- BMI above 30; Total: 11-20lbs; 1st&2nd trimester: 0.4-0.6 weekly.

Normal weight gain:

First Trimester: 0.5 to 2kg (1.1 to 4.4 lbs)

2nd and 3rd Trimester: 0.45kg per week.

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