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Nutrition History of a Pregnant Woman.
Chinenye Nwawulu.
Morgan State University.
Nutrition 367.101.
Dr. Cynthia Tucker.
09/22/2015.

Nutrition History of a Pregnant Woman.
The nutritional intake of a woman before and during pregnancy can affect not only the growth and development of her baby but can also have an effect on malformation or mental retardation, if the lack of minerals and vitamins like iodine, folic acid or excessive intake of vitamin A is present during pregnancy. Pregnant women become more interested in their body and health; how much they weigh and how they look once they confirm they are pregnant because it is one of the most important times to stay healthy. They begin to watch what they eat, take vitamins and minerals needed, and participate in safe exercises to stay fit.
Although women say they eat better at the beginning of pregnancy, these change does not continue for most women. During my interview with a pregnant woman, I discovered that the eating habits of pregnant women may vary depending on the woman. Her food intake reduced when she confirmed she was pregnant. She tries not to eat food containing excess oil but eats more fruits, yoghurt, and ice cream and loves to drink anything that is very cold and always wants to consume snacks that are either sour or salty. She also takes Pregnacare; a nutrient supplement with specific nutrient for mother and child. At the early stage of her pregnancy, she said she always wanted to be alone because she was always angry and irritated by everything and everyone around her. She is presently able to socialize well, can tolerate others and she is surrounded by her family and friends. In addition, she also weighed 137pounds before getting pregnant but presently weighs 154pounds thereby been under weight. Below is an analysis of her food intake, calories, and nutrients report based on a 3 day meal plan. | | | | | 3 Day Meal Plan. | | | | This plan is based on a 2000 Calorie allowance during the 1st trimester of pregnancy. | | | Date | | Breakfast | Lunch | Dinner | Snacks | | | 09/18/15 | | | | | | | | 1 medium (2-1/2" across) Hot dog bun, white | | | | | | | | 1 medium (7" to 7-7/8" long) Banana, raw | | | | | | | | 1 large (3-1/4" across) Apples, raw | | | | | | | | 1 ounce (22 almonds) Almonds, dry roasted, salted | | | | | | | | | | | | 1 mug (8 fl oz) Tea, from instant powder, sweetened with sugar | | | | | | | | 1 cup Milk, whole | | | | | | | | 1 cup Salad, Cobb, grilled chicken, bacon, egg, blue cheese, avocado, tomato, Italian dressing | | | | | | | | | | | | | | | | | | | | 1 medium wedge Watermelon, raw | | | | | | | | 1 cup Ravioli, meat filled, with tomato sauce or meat sauce | | | | | | | | | | | | | | | | | | | | 09/19/15 | | | | | | | | 1 cup, cubes Avocado, raw | | | | | | | | 1 medium ear (6-3/4" to 7-1/2" long) Corn, yellow, fresh, cooked (with salt, no fat added) | | | | | | | | 1 cup Kidney beans, cooked from dry (with salt, no fat added) | | | | | | | | 1 square Cracker, saltine | | | | | | | | | | | | 1 cup Milk, chocolate flavored, whole | | | | | | | | 1 square Cracker, saltine | | | | | | | | 1 cup Milk, chocolate flavored, whole | | | | | | | | | | | | | | | | | | | | 1 cup Rice cereal (cream of rice), cooked (with salt, no fat added) | | | | | | | | 1 cup Fried rice, with shrimp | | | | | | | | | | | | | | | | | | | | 09/20/15 | | | | | | | | 1 large egg(s) Egg, boiled | | | | | | | | 1 piece (2-1/2" x 4) Lasagna, with chicken or turkey | | | | | | | | 1 cup Mixed vegetable juice (vegetables other than Tomatoes) | | | | | | | | 1 ounce(s) Bagel chips | | | | | | | | | | | | 1 cup Orange juice, freshly squeezed | | | | | | | | 1 piece (1/8 of 9" pie) Pie, lemon meringue | | | | | | | | 1 cup Orange juice, freshly squeezed | | | | | | | | | | | | | | | | | | | | 1 cup Soup, mostly noodles (Ramen, Cup Noodles) | | | | | | | | | | | | | | | | 1 slice (1/8 of 12" pizza) Pizza, with pepperoni, thick crust | | |

Food Groups and Calories Report. | | This plan is based on a 2000 Calorie allowance during the 1st trimester of pregnancy. | | | | | Food Groups | Target | Average Eaten | Status | | | | Grains | 6 ounce(s) | 5½ ounce(s) | OK | | | | Whole Grains | ≥ 3 ounce(s) | ½ ounce(s) | Under | | | | Refined Grains | ≤ 3 ounce(s) | 5 ounce(s) | Over | | | | Vegetables | 2½ cup(s) | 2 cup(s) | Under | | | | Dark Green | 1½ cup(s)/week | ¼ cup(s) | Under | | | | Red & Orange | 5½ cup(s)/week | ¾ cup(s) | Under | | | | Beans & Peas | 1½ cup(s)/week | ½ cup(s) | Under | | | | Starchy | 5 cup(s)/week | ¼ cup(s) | Under | | | | Other | 4 cup(s)/week | 1 cup(s) | Under | | | | Fruits | 2 cup(s) | 2¼ cup(s) | OK | | | | Whole Fruit | No Specific Target | 1½ cup(s) | No Specific Target | | | | Fruit Juice | No Specific Target | ¾ cup(s) | No Specific Target | | | | Dairy | 3 cup(s) | 1½ cup(s) | Under | | | | Milk & Yogurt | No Specific Target | 1 cup(s) | No Specific Target | | | | Cheese | No Specific Target | ½ cup(s) | No Specific Target | | | | Protein Foods | 5½ ounce(s) | 2½ ounce(s) | Under | | | | Seafood | 8 ounce(s)/week | 0 ounce(s) | Under | | | | Meat, Poultry & Eggs | No Specific Target | 1½ ounce(s) | No Specific Target | | | | Nuts, Seeds & Soy | No Specific Target | ½ ounce(s) | No Specific Target | | | | Oils | 6 teaspoon | 3 teaspoon | Under | | | | Limits | Allowance | Average Eaten | Status | | | | Total Calories | 2000 Calories | 1450 Calories | Under | | | | Empty Calories* | ≤ 258 Calories | 299 Calories | Over | | | | Solid Fats | * | 209 Calories | * | | | | Added Sugars | * | 90 Calories | * |

Nutrients Report. | | Your plan is based on a 2000 Calorie allowance during your 1st trimester of pregnancy. | | | | | Nutrients | Target | Average Eaten | Status | | | | Total Calories | 2000 Calories | 1450 Calories | Under | | | | Protein (g)*** | 71 g | 52 g | Under | | | | Protein (% Calories)*** | 10 - 35% Calories | 14% Calories | OK | | | | Carbohydrate (g)*** | 175 g | 201 g | OK | | | | Carbohydrate (% Calories)*** | 45 - 65% Calories | 55% Calories | OK | | | | Dietary Fiber | 28 g | 21 g | Under | | | | Total Sugars | No Daily Target or Limit | 79 g | No Daily Target or Limit | | | | Added Sugars | No Daily Target or Limit | 22 g | No Daily Target or Limit | | | | Total Fat | 20 - 35% Calories | 33% Calories | OK | | | | Saturated Fat | < 10% Calories | 10% Calories | Over | | | | Polyunsaturated Fat | No Daily Target or Limit | 6% Calories | No Daily Target or Limit | | | | Monounsaturated Fat | No Daily Target or Limit | 14% Calories | No Daily Target or Limit | | | | Linoleic Acid (g)*** | 13 g | 9 g | Under | | | | Linoleic Acid (% Calories)*** | 5 - 10% Calories | 5% Calories | OK | | | | α-Linolenic Acid (% Calories)*** | 0.6 - 1.2% Calories | 0.6% Calories | OK | | | | α-Linolenic Acid (g)*** | 1.4 g | 0.9 g | Under | | | | Omega 3 - EPA | No Daily Target or Limit | 17 mg | No Daily Target or Limit | | | | Omega 3 - DHA | No Daily Target or Limit | 32 mg | No Daily Target or Limit | | | | Cholesterol | < 300 mg | 267 mg | OK | | | | Minerals | Target | Average Eaten | Status | | | | Calcium | 1000 mg | 660 mg | Under | | | | Potassium | 4700 mg | 2586 mg | Under | | | | Sodium** | < 2300 mg | 2392 mg | Over | | | | Copper | 1000 µg | 1130 µg | OK | | | | Iron | 27 mg | 11 mg | Under | | | | Magnesium | 350 mg | 243 mg | Under | | | | Phosphorus | 700 mg | 947 mg | OK | | | | Selenium | 60 µg | 69 µg | OK | | | | Zinc | 11 mg | 7 mg | Under | | | | Vitamins | Target | Average Eaten | Status | | | | Vitamin A | 770 µg RAE | 601 µg RAE | Under | | | | Vitamin B6 | 1.9 mg | 1.2 mg | Under | | | | Vitamin B12 | 2.6 µg | 2.2 µg | Under | | | | Vitamin C | 85 mg | 139 mg | OK | | | | Vitamin D | 15 µg | 4 µg | Under | | | | Vitamin E | 15 mg AT | 8 mg AT | Under | | | | Vitamin K | 90 µg | 289 µg | OK | | | | Folate | 600 µg DFE | 500 µg DFE | Under | | | | Thiamin | 1.4 mg | 1.2 mg | Under | | | | Riboflavin | 1.4 mg | 1.5 mg | OK | | | | Niacin | 18 mg | 12 mg | Under | | | | Choline | 450 mg | 248 mg | Under | | | | |

In the food group and calories report, the grains group was low. To make the grains intake adequate, she will have to consume at least 3 or more ounce-equivalents of whole grains per day. This can be done by eating foods made with enriched flours for added vitamins and mineral like brown or wild rice, quinoa, amaranth, pure buckwheat, flax, whole corn, millet, gluten-free oats, and sorghum.
In addition, the fruits intake was ok but the vegetables group was low. To make the vegetable intake adequate, she will have to consume dark green vegetables, orange vegetables, and legumes (dry beans) more often.
Consequently, the dairy and protein foods group was low. To make the dairy, protein foods, and oils intake adequate, she will have to consume fat free milk, yoghurt, and cheese to make the diary intake adequate. She will also have to consume Black beans, Broccoli, Bulgur, cooked Chickpeas, Lentils, Peanut butter Quinoa, Spinach, and Whole-wheat bread to make her protein intake adequate enough.
To increase her iron intake, she will have to eat more of meat, poultry and fish. To increase her vitamin D intake, she will have to consume more milk and juice. To increase her calcium intake she will have to consume more egg and cheese. To increase her fiber intake, she will have to consume more processed grains like pear, sweet baked potato, black beans and fresh raspberries. To increase her potassium intake, she will have to consume more of processed foods like pastries.
Furthermore, I adviced her to consume at least 6-11 servings of whole grains, 3-5 servings of vegetables, 3-4 servings of reduced fat/ fat-free dairy, 2-4 servings of fruit, and 2-3 servings of lean meats and protein. Consume foods high in Calcium, Iron and Zinc such as lentils and beans, and essential fats such as salmon nuts and canola oil. She must watch her calorie intake; there must be an increase of 300 calories per day.

References.
1: Brown, J. (2011). Nutrition through the life cycle (5th ed.). Belmont, CA: Wadsworth, CENGAGE Learning.
2: Choose MyPlate. (n.d.). Retrieved September 22, 2015.
3: National Academy of Sciences. Nutrition During Pregnancy: Part I: Weight Gain, Part II: Nutrient Supplements. Washington, DC: National Academy Press, 1990.

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