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.

Cite a nutrition-related indicator that could be used to monitor and evaluate each of the nutrition interventions stated.

Summary Introduction

To mention: A nutrition-related indicator to monitor and evaluate nutrition intervention.

Introduction: In a twin pregnancy, the recommendations for food intake are primarily based on caloric and nutritional requirement of the individual based on her age, height, weight, and so on. Women following recommendations from health care providers during pregnancy are reported to have good health. Theoretically, a weight gain of 18.2 kg in twin pregnancy requires an intake of 35,000 calories more in pregnancy averaging to 150 calories per day. Besides these, specific nutrients such as iron and calcium and essential fatty acids have an increased requirement during pregnancy.


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...

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