Renee is a 21-year-old African American woman in her 35th week of pregnancy. She is married and the mother of two young children
. Her pre-pregnancy BMI was 18.1. She has gained 24 pounds since becoming pregnant, but at her most recent prenatal visit, she was found to have lost a pound over the past week. She says that her weight loss is due to "stress." Renee says she enjoys eating canned spinach cooked in tomato sauce with chopped onions and craves "Napoleon" flavored ice cream. Her 24-hour recall is as follows:Breakfast:16 oz kiwi strawberry drink Lunch: 16 oz lemonade1½ baked chicken breast3 cups canned spinach cooked in canned tomato sauce and onion2 slices of carrot cake with cream cheese frostingSnack: 8 oz whole milk1 peanut butter and jelly sandwichDinner: 16 oz decaffeinated tea5 oz beef and rice dinner4 scoops Neapolitan-style ice creamSnack: 24 oz water1 buttermilk biscuit1. Why can’t the nurse use Renee’s current weight to calculate a BMI for her?2. Considering Renee’s pre-pregnancy BMI, what weight gain goals would you give Renee?3. What other factor besides energy intake from foods could cause a pregnant woman to gain weight?4. On reviewing her 24-hour dietary recall, what suggestions might you have for Renee about:a. her food choice for breakfast?b. her intake of fruits and vegetables? c. her intake of concentrated sweets? d. increasing her calcium intake?
1 answer:
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