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Nutrition Through the Life Cycle (...

6th Edition
Judith E. Brown
ISBN: 9781305628007

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BuyFindarrow_forward

Nutrition Through the Life Cycle (...

6th Edition
Judith E. Brown
ISBN: 9781305628007
Textbook Problem

Susan is a 19-year-old “meat-and-potatoes” type eater who rarely consumes vegetables, fruits, or dairy products. She likes monosyllabic vegetables (beans, corn, and peas), bananas and oranges, and chocolate milk. She generally consumes one of these vegetables and fruits each day, and always has a glass of chocolate milk. Susan consumes sweetened iced tea throughout the day, and twice a week she eats rice with meat rather than potatoes. She finds this type of diet satisfying and rarely consumes foods other than those mentioned.

  Her first 17 weeks of pregnancy were uneventful. At week 18 she was found to have proteinuria. By week 22, her blood pressure had increased to 150/100 mm Hg, and she was diagnosed with preeclampsia. Laboratory studies indicated that her blood glucose level was on the high side of normal and that she was insulin resistant. She was left to follow-up after her week 22 visit.

  A bit overweight prior to pregnancy, Susan did not gain weight and restricted her salt intake after mid-pregnancy. She believed these actions would help lower her weight and blood pressure. Although she was given a supply of prenatal vitamin and mineral supplements early in pregnancy, she rarely remembered to take them. Her baby, weighing 5 lb 5 oz (2380 g), was delivered by Cesarean section at week 36.

2.    Identify two other characteristics of her diet that are contraindicated for women with preeclampsia. Answers should be different than those for question 1.

Summary Introduction

To evaluate: The characteristics of Person S’s diet that is contraindicated for women with preeclampsia.

Introduction: Preeclampsia is a syndrome commonly encountered in first pregnancies which are characterized by oxidative stress, blood coagulation, increased blood pressure, insulin resistance, hypertension, high-fat content in the body, and maternal immune response to the fetus. In general, every organ of the mother is affected which causes problematic delivery. Therefore, it is advisable for pregnant women to have adequate physical activity along with a healthy diet consisting of a variety of fruits and vegetables with dairy products (with low-fat content) and fibers. Besides, one should prefer fish, poultry, and seafood and avoid over-processed food.

Explanation

Person S, aged 19, is a woman who faces slight overweight and she likes to consume only meat and potatoes. She has a very limited intake. Her daily diet includes one vegetable from the monosyllabic vegetables. She prefers one fruit and a glass of chocolate milk. She drinks sweetened ice tea throughout the day and she eats rice with meat twice a week.

Her pregnancy outcome at week 17 were uneventful, at week 18 she had proteinuria, by week 22, her blood pressure was 150/100mmHg and had developed preeclampsia along with insulin resistance. However, after mid pregnancy, she did not gain weight and restricted her salt intake. She delivered her baby weighing 5lb 5oz at week 36 through cesarean section...

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