Nutrition Through The Life Cycle

7th Edition
Brown + 1 other
ISBN: 9781337919333



Nutrition Through The Life Cycle

7th Edition
Brown + 1 other
ISBN: 9781337919333
Textbook Problem

This case study involves use of the American Dietetic Association’s Nutrition Care Process.

  At 37 years of age, Señora Mendez was in her 23rd week of pregnancy and expecting her second child. Or so she thought, until an ultrasound scan detected twins. Her prepregnancy weight was 142 lb (64.5 kg) and her BMI 23 kg/m2. Señora Mendez’s weight-gain progress has been poor due to nausea and vomiting experienced in the first half of pregnancy. Otherwise, Sra. Mendez was experiencing a normal pregnancy for women expecting twins. Concerns about her weight-gain progress and the nutritional needs of women with twin gestation prompted her certified–nurse-midwife to prescribe a prenatal vitamin and mineral supplement and to refer her to a registered dietitian/certified diabetes educator.

  A nutritional assessment completed during week 25 of pregnancy identified that Sra. Mendez had gained 14 pounds since conception, and that her typical dietary intake excluded fish or other sources of omega-3 fatty acids. Her plasma 25-hydroxyvitamin D level was below 24 nmol/L, indicating low vitamin D status. No other nutrition-related problems were identified.

2.    State three appropriate nutrition diagnoses for this case.

Summary Introduction

To state: Three appropriate nutrition diagnoses for Person S.

Introduction: Nutrition is a very important aspect in pregnancy. However, due to lack of proper knowledge related to the nutritional requirement in twin pregnancy, recommendations are largely based on theories and assumptions. Theoretically, in twin pregnancy, the weight gain is higher as compared to singleton pregnancy


Person S aged 37 with a body mass index (BMI) of 23 kg/m2and weighing 142lb is in her second pregnancy and expecting twins. In the first half of her pregnancy, her weight gain progress is poor due to nausea and vomiting, otherwise, it was a normal pregnancy. She was prescribed prenatal vitamin and mineral supplements by her midwife. At 25th week, she had a 14 pound weight gain and her nutritional assessment indicated that although her plasma 25-hydroxyvitamin D level was below 24 nmol/L (implying low vitamin D status), there were no other nutrition-related problems...

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