Nutrition Through the Life Cycle (...

6th Edition
Judith E. Brown
ISBN: 9781305628007



Nutrition Through the Life Cycle (...

6th Edition
Judith E. Brown
ISBN: 9781305628007
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.

3.    Name one potential nutrition intervention that would address each of the nutrition diagnoses stated.

Summary Introduction

To mention: One potential nutrition intervention that would address each of the nutritional diagnoses of Person S.

Introduction: A healthy diet is a prerequisite for a woman who had twin pregnancy. There is an increase in the demand for calorific intake and dietary nutrients due to an increased volume of maternal blood, extracellular fluid, placenta, and fetal growth. A large amount of energy is expended in the development of these tissues. Some studies also indicate that starvation metabolism has a quicker onset in women expecting twins as compared to women with a singlet pregnancy. A lack of basic nutrients can result in complications in pregnancy with growth and developmental errors in the newborn.


Person S aged 37 with a 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 the 25th week, she had a 14-pound weight gain, and her nutritional assessment indicated that although her plas...

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