N322 Case Study #2- Pregnancy
NAME______
N331 Case Study #2: Pregnancy
Anna and Paul, both 32 years old, just found out that they are going to have their first child. Anna is 5 weeks pregnant.
Anna is 67 inches tall (without shoes), her pre-pregnancy weight was 126# (in indoor clothing), and her frame size is medium. Her hematocrit is 30%, hemoglobin is 12 g/dl, and her serum iron level is 45 mcg/dl.
Both Anna and Paul run about 2 miles, 4 days a week. Neither of them are smokers. They have a glass of wine with dinner. Anna plans to breastfeed the baby.
Anna is concerned about gaining too much weight. She is worried about additives in foods that may harm the fetus. She is taking 5 grams of vitamin C daily that she believes is helpful for cold prevention, but no other supplements.
A typical day’s meal pattern follows:
While Running:Bottled water
Breakfast:Orange juice
Cereal with milk
Espresso
Lunch:Pita bread sandwich with tuna salad or deli meat with tomato
Fresh fruit
Packaged square of carrot cake
Bottled fruit juice drink
Dinner:Broiled or roasted meat, poultry, or fish
Rice or potato
Green or yellow vegetable
Tossed salad with lite dressing (salad usually contains greens,
tomatoes, alfalfa sprouts, handful of nuts)
Sugar-free Jell-O
Wine
Snacks:Dried fruit or air-popped popcorn
- How does Anna’s weight compare with standards for her age and height? Calculate Anna’s BMI. How much weight should Anna gain during her pregnancy?
2.Evaluate Anna's iron status. Is she anemic? Why or why not?
3.What factors in Anna’s history are favorable for her pregnancy?
4. What suggestions could you make about her exercise routine during pregnancy?
5.Evaluate Anna’s food choices for her new status of mother-to-be. Evaluate her beverage intake. Do you have any concerns about the food safety of what she eats?
6.Anna does not like to drink milk. According to the Dietary Guidelines (6th edition), what is the recommended number of servings for her from the dairy group? What foods would be appropriate substitutions for milk? Suppose Anna is a vegan. How can she get the protein and vitamin B12 she needs?
6.The doctor recommended that Anna take some supplements. Which one(s) do you expect he recommended?
7.How would you advise Anna about her concerns with food additives?
8.Are there any other recommendations you would make for Anna?