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Case 21
Case 21
Case 21
Anemia in Pregnancy
Case name:Mrs. Morris , Amber. Weight:61.23kg.
Age:31y.o. Height:167.64cm.
Gender:female. Physical activity:light.
Pregnant in 23rd week.
20. Mrs. Morris says she does not take her prenatal
vitamin regularly. What nutrients does this vitamin provide?
What recommendations would you make to her regarding
her difficulty taking the vitamin supplement?
Prenatal vitamins are specifically designed to provide
essential nutrients that support a healthy pregnancy. They
typically contain higher levels of certain vitamins and
minerals that are important for both the mother and the
developing baby.
She’s complaining that the vitamin supplement hurts her
stomach, this is a side effect to some prenatal vitamins,
she can try a different type of supplement, such as the
chewable or liquid vitamins rather than those you swallow
whole.
21. List factors that you would monitor to assess her
pregnancy, nutritional, and iron status.
monitor the following factors to assess her pregnancy,
nutritional, and iron status:
1. Weight gain: Monitoring her weight gain throughout
pregnancy can provide insights into her overall nutritional
status.
2. Dietary intake: Assessing her dietary intake can help
determine if she is consuming a balanced and nutritious
diet. Using such things as a patient food log, 24 hr recall or
direct observation.
3. Iron levels: Regular monitoring of her iron levels,
including hemoglobin and ferritin levels, can help prevent
any deficiencies and guide appropriate supplementation.
4. Folate levels: Folate is crucial for fetal development,
particularly in the early stages of pregnancy. Monitoring
her folate levels can ensure she is getting enough to
support the baby's growth and prevent neural tube defects.
5. Vitamin D levels: Adequate vitamin D is important for
both the mother and baby's health. Monitoring her vitamin
D levels can help identify any deficiencies and guide
supplementation if necessary.
6. Blood pressure: Regular monitoring of blood pressure is
essential to detect any signs of gestational hypertension or
preeclampsia, which can have serious implications for both
the mother and baby.
7. Blood sugar levels: Monitoring blood sugar levels can
help identify gestational diabetes, a condition that can
develop during pregnancy. Proper management of blood
sugar levels is important for the health of both the mother
and baby.
8. Overall health and well-being: Assessing her overall
health and well-being, including any symptoms or
discomforts she may be experiencing, can provide insights
into her pregnancy status and overall nutritional status.
22. You note in Mrs. Morris's history that she received
nutrition counseling from the WIC program. What is WIC?
Should you refer her back to that program? What are the
qualifications for enrollment? Are there any you can
confirm for her referral.
WIC stands for the Special Supplemental Nutrition
Program for Women, Infants, and Children. It is a federal
assistance program in the United States that provides
nutrition education, healthy food, and support to low-
income pregnant women, new mothers, and young
children. The program aims to improve the health and well-
being of these individuals by providing them with nutritious
food options, breastfeeding support, in order to be eligible
a women or child has to be in "Nutritional Risk." The
criteria for the nutritionally at risk may include anemia, poor
gestational weight gain, inadequate diet or Failure To
Thrive (FTT) in the infant or child. She is not only having
anemia but she also has a low gestational weight gain and
an inadequate diet. I would most definitely refer her back
to the program, so that she could gain the additional help
she needs.