NURS 323 Lecture Notes - Lecture 9: Fetus, Chard, Leukorrhea

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Goal of preconception nutrition: all women to achieve a desirable weight before conception. No risk factors and medical conditions: 0. 4mg po (is available otc) Risk factors requiring folic acid: neural tube defects (ntd), poorly controlled maternal diabetes, mellitus, maternal epilepsy, obesity etc. Additional caloric recommendations during pregnancy first trimester: same as pre-pregnancy second trimester: additional 340 calories/day third trimester: additional 452 calories/day. Calcium (1000 mg/day): bone and tissue growth, especially in the third trimester. Fluids: support exchange of nutrients and waste products. Iron (30 mg, especially in the second or third trimester) for maternal red blood cells and to transfer to the fetus vitamin c helps to increase the absorption of iron. Assisted reproductive techniques: increase risk of pregnancy and birth complications. Signs of pregnancy: presumptive: changes felt by the woman but are not necessarily proof urinary frequency breast changes nausea/vomiting amenorrhea quickening: first signs of fetal movement, probable: objective changes felt by the examiner.

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