Life Cycle Nutrition: Pregnancy
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Questions and Answers

Which fish should be limited to less than 150 g per month during pregnancy?

  • Sardines
  • Catfish
  • Salmon
  • Tuna (correct)
  • What is the recommended dietary allowance (RDA) for folate during pregnancy?

  • 1000 µg/d
  • 600 µg/d (correct)
  • 400 µg/d
  • 800 µg/d
  • Why is high folate intake considered a risk during pregnancy?

  • It can mask vitamin B12 deficiency. (correct)
  • It may interfere with calcium absorption.
  • It can lead to vitamin A toxicity.
  • It may cause iron deficiency.
  • What is the recommended daily allowance (RDA) for calcium during pregnancy?

    <p>1000 mg/d (B)</p> Signup and view all the answers

    What are the main functions of the placenta?

    <p>Gas exchange, waste removal, nutrient exchange (B)</p> Signup and view all the answers

    What is a significant concern for vegans during pregnancy regarding nutrients?

    <p>Vitamin B12 deficiency (D)</p> Signup and view all the answers

    What is the impact of inadequate nutrient availability during critical periods of fetal growth?

    <p>It may lead to pregnancy termination or affect organ development. (D)</p> Signup and view all the answers

    Why is folate significant during pregnancy?

    <p>It prevents neural tube defects during early development. (C)</p> Signup and view all the answers

    What was the observed effect of folic acid fortification on neural tube defect rates in Canada?

    <p>46% decline in rates. (A)</p> Signup and view all the answers

    When does neural tube closure occur during gestation?

    <p>Before the 6th week of gestation. (A)</p> Signup and view all the answers

    What is the reported percentage of Canadian women who drink frequently or binge drink during pregnancy?

    <p>5% (C)</p> Signup and view all the answers

    What do Health Canada and the Canadian Pediatric Society recommend regarding alcohol consumption before and during pregnancy?

    <p>Abstain totally from alcohol prior to and during pregnancy. (D)</p> Signup and view all the answers

    What is the potential risk associated with consuming 5 or more alcoholic drinks per week during pregnancy?

    <p>High risk of spontaneous abortions and stillbirths. (D)</p> Signup and view all the answers

    What is the likely consequence of alcohol intake during early pregnancy?

    <p>More detrimental compared to drinking during the second trimester. (B)</p> Signup and view all the answers

    What was noted about drinking behavior among women before they are aware of their pregnancies?

    <p>It is common for many women. (A)</p> Signup and view all the answers

    What is the additional caloric requirement during the second trimester of pregnancy?

    <p>340 kcal/day (C)</p> Signup and view all the answers

    What is the recommended additional protein intake for a 60 kg woman during pregnancy?

    <p>73 g/day (A)</p> Signup and view all the answers

    Which fatty acids are emphasized for fetal brain development during pregnancy?

    <p>DHA (n-3) and arachidonic acid (n-6) (C)</p> Signup and view all the answers

    Why may protein intake be a concern for vegan pregnant women?

    <p>It may be difficult to increase their protein intake (C)</p> Signup and view all the answers

    What is a recommended fish intake for pregnant women regarding seafood consumption?

    <p>150-340 g/week (C)</p> Signup and view all the answers

    During which trimester is there no additional caloric requirement?

    <p>First Trimester (C)</p> Signup and view all the answers

    Which food sources are recommended for increasing protein intake during pregnancy?

    <p>Legumes, tofu, nuts, seeds, and whole grains (A)</p> Signup and view all the answers

    What potential issue is associated with excessive fat intake during pregnancy?

    <p>Excessive gestational weight gain (GWG) (C)</p> Signup and view all the answers

    What is the recommended dietary allowance (RDA) for iron during pregnancy?

    <p>27 mg/d (A)</p> Signup and view all the answers

    What happens to calcium absorption efficiency in early pregnancy?

    <p>Doubles (B)</p> Signup and view all the answers

    What is a primary concern related to alcohol consumption during pregnancy?

    <p>Restricted oxygen and nutrient delivery to the fetus (B)</p> Signup and view all the answers

    Which of the following is a recommended dietary practice during pregnancy?

    <p>Limit caffeine intake to less than 300 mg/d (D)</p> Signup and view all the answers

    What condition may result from drinking alcohol during pregnancy?

    <p>Fetal Alcohol Spectrum Disorder (FASD) (B)</p> Signup and view all the answers

    What is the primary purpose of maternal iron supplementation during pregnancy?

    <p>Satisfy increasing blood volume demands (D)</p> Signup and view all the answers

    Which group is at a higher risk for poor dietary habits during pregnancy?

    <p>Adolescents pregnant for the first time (B)</p> Signup and view all the answers

    Which foodborne illness is particularly concerning during pregnancy?

    <p>Listeriosis (C)</p> Signup and view all the answers

    What amount of caffeine is generally recommended to limit during pregnancy?

    <p>Less than 300 mg/d (A)</p> Signup and view all the answers

    What is a potential consequence of fetal alcohol exposure during pregnancy?

    <p>Subtle mood disorders (B)</p> Signup and view all the answers

    What is the recommended total weight gain during pregnancy for a normal weight woman?

    <p>11.5 - 16 kg (25 - 35 lbs) (B)</p> Signup and view all the answers

    What is considered a healthy weight gain during the first trimester?

    <p>1.5 kg (3.5 lbs) (D)</p> Signup and view all the answers

    Which condition is associated with excess gestational weight gain (GWG)?

    <p>Increased number of cesarean births (A)</p> Signup and view all the answers

    What is one of the risks associated with low birth weight?

    <p>Increased risk of obesity in adulthood (A)</p> Signup and view all the answers

    Which of the following factors can contribute to low birth weight?

    <p>Inadequate gestational weight gain (C)</p> Signup and view all the answers

    What is the risk of having a high body weight at birth?

    <p>Higher risk of childhood obesity (C)</p> Signup and view all the answers

    Which of the following can lead to preterm birth?

    <p>Maternal obesity (A)</p> Signup and view all the answers

    What percentage of pregnancies in Canada were complicated by excess maternal body weight?

    <p>34% (D)</p> Signup and view all the answers

    What is a common result of maternal malnutrition during pregnancy?

    <p>Reduced infant birth weight (B)</p> Signup and view all the answers

    Which of these conditions is NOT associated with obesity in pregnancy?

    <p>Increased fetal nutrient absorption (D)</p> Signup and view all the answers

    What long-term risks are associated with preterm or low birth weight?

    <p>Higher risk of Type 2 diabetes (A)</p> Signup and view all the answers

    How many deaths per year are attributed to low birth weight and nutrient deficiencies in children under 5 years of age?

    <p>3 million (C)</p> Signup and view all the answers

    Which complication is NOT typically associated with obesity during pregnancy?

    <p>High IQ in offspring (A)</p> Signup and view all the answers

    What is the recommended weight gain for women in their second and third trimesters?

    <p>0.5 kg (1 lb) per week (D)</p> Signup and view all the answers

    Flashcards

    Placenta functions

    The placenta facilitates gas exchange, waste removal, and nutrient exchange between mother and fetus.

    Pre-conception nutrition

    Adequate nutrition before pregnancy is crucial for successful implantation and early placental growth.

    Critical periods of fetal growth

    Specific times during pregnancy when nutrient availability significantly impacts organ development.

    Folate deficiency

    Low folate levels during early pregnancy can lead to neural tube defects like spina bifida.

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    Neural tube closure

    The period when the neural tube closes to form the spinal cord and brain in the fetus, typically around week 6 of gestation.

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    Energy needs in 1st trimester

    No additional calories are required in the first trimester, but nutrient-rich food choices are crucial.

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    Energy needs in 2nd trimester

    An additional 340 calories per day is recommended during the second trimester.

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    Energy needs in 3rd trimester

    An extra 450 calories per day are recommended during the third trimester.

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    Protein needs during pregnancy

    A daily increase of 25 grams of protein is recommended during pregnancy, on top of the regular daily requirement.

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    Fat intake during pregnancy

    While excessive fat intake can lead to excessive weight gain, healthy fats are crucial for fetal development.

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    DHA and arachidonic acid

    These essential fatty acids are crucial for brain development and are primarily found in fish and seafood.

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    Recommended fish intake during pregnancy

    Eating 150-340 grams of fish per week is recommended, but caution must be exercised regarding environmental contaminants.

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    Vegan protein intake during pregnancy

    Increasing energy and protein intake can be challenging for vegans during pregnancy.

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    Ideal pre-pregnancy weight

    Healthy weight before becoming pregnant.

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    First trimester weight gain

    1.5 kg (3.5 lbs) total weight gain during the first trimester.

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    Second/Third trimester weight gain

    0.5 kg (1 lb) per week of weight gain in the 2nd and 3rd trimesters of pregnancy.

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    Optimal weight gain in normal weight women

    11.5 – 16 kg (25 – 35 lbs) during pregnancy for women with a normal BMI.

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    Maternal Gestational Weight Gain (GWG)

    Weight gain during pregnancy, impacted by pre-pregnancy BMI.

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    Excess GWG or body weight

    Weight gain beyond recommended ranges in pregnancy.

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    Preterm Birth

    Birth before 37 weeks of gestation.

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    Low Birth Weight

    Birth weight below a certain threshold, linked to higher mortality.

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    Large for Gestational Age (LGA)

    Infant born with a high birth weight compared to gestation.

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    Obesity in Pregnancy

    High maternal body weight associated with complications.

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    Neural tube defects

    Birth defects involving the brain and spine.

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    Low birth Weight Causes

    Combination of factors including low maternal weight, insufficient GWG, smoking, nutrition, and maternal health.

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    Underweight in pregnancy

    Low body weight before or during pregnancy.

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    Global Infant Mortality

    Death rates of infants worldwide.

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    Maternal malnutrition

    Nutritional deficiencies experienced by the mother during pregnancy.

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    Alcohol in Pregnancy

    Drinking alcohol during pregnancy, even in small amounts, can have serious consequences for the developing fetus, including increased risk of miscarriage, stillbirth, and fetal alcohol spectrum disorders (FASD).

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    Alcohol's Impact on Pregnancy

    The effects of alcohol on the fetus are most severe during the first trimester, as this is when major organs and systems are developing.

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    FASD

    Fetal Alcohol Spectrum Disorders (FASD) are a range of lifelong disabilities caused by alcohol exposure during pregnancy. These disabilities can affect physical, cognitive, and behavioral development.

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    Exercise During Pregnancy

    Regular exercise during pregnancy is generally beneficial, but it's crucial to choose low-impact activities and consult a doctor before starting any new workout program.

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    Pregnancy Exercise Benefits

    Exercise during pregnancy can help manage weight gain, improve mood, reduce back pain, and prepare the body for labor.

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    Fish Oil Supplementation during Pregnancy

    The value of fish oil during pregnancy is debated due to potential benefits for both the mother and developing infant, but also due to potential risks and lack of conclusive evidence.

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    High Folate Intake

    Taking more than 1 mg of folate per day can hide a B12 deficiency, potentially leading to complications.

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    Folate RDA during Pregnancy

    The recommended daily intake of folate for pregnant women is 600 µg, with an additional 400 µg recommended for women planning to become pregnant.

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    Calcium RDA during Pregnancy

    The recommended daily intake of calcium remains the same for pregnant and non-pregnant women at 1000 mg.

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    B12 Deficiency Risk in Vegans

    Vegetarians and vegans are at an increased risk of B12 deficiency due to limited sources in their diet, requiring supplementation.

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    Calcium Transfer in Late Pregnancy

    The mother's skeleton provides calcium for fetal growth, especially during the third trimester, with about 300mg transferred daily.

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    Fetal Iron Demands

    The fetus prioritizes iron for blood formation and iron stores, which will last until around 6 months of age.

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    Iron Supplement Use in Pregnancy

    Iron supplements are often recommended during the second and third trimesters to ensure adequate iron intake.

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    Alcohol's Impact on Fetal Growth

    Alcohol exposure can restrict oxygen and nutrient delivery to the fetus, impairing brain development and potentially leading to FASD.

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    Fetal Alcohol Syndrome (FAS)/Fetal Alcohol Spectrum Disorder (FASD)

    These disorders are a group of birth defects caused by alcohol exposure during pregnancy, resulting in brain damage, growth delays, and physical abnormalities.

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    Alcohol and Pregnancy Impact on the Brain

    Alcohol interferes with brain cell division and development, impacting brain growth and function, particularly during early pregnancy.

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    Alcohol's Impact on Fetal Development

    Alcohol can cause a range of problems, from subtle learning difficulties to severe physical abnormalities, depending on the amount and timing of exposure during pregnancy.

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    Caffeine Limit During Pregnancy

    Limit your caffeine intake to less than 300mg per day, equivalent to about 2 cups of coffee or 6 cups of tea.

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    Foodborne Illness Risks in Pregnancy

    Pregnancy increases the risk of listeriosis, a foodborne illness particularly dangerous for the fetus, often found in meat and dairy products.

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    Study Notes

    Life Cycle Nutrition: Pregnancy

    • Pregnancy nutrition is crucial for fetal development and maternal health
    • Adequate nutrition prior to conception supports successful implantation and early placental growth
    • The placenta facilitates vital functions including gas exchange, waste removal, and nutrient exchange between mother and fetus
    • The maternal blood provides oxygen and nutrients to the fetus, and removes waste products
    • Fetal blood vessels are closely intertwined with maternal vessels in the placenta, enabling transfer of substances without mixing

    Stages of Embryonic and Fetal Development

    • Fertilization occurs when a sperm fertilizes an egg forming a zygote; this zygote is small initially
    • After implantation, the placenta develops to nourish the embryo
    • The embryo grows in size and develops crucial organs and tissues, during critical weeks
    • A fetus develops rapidly, increasing in size and weight by multiple orders of magnitude, over many weeks
    • Critical periods of fetal growth are susceptible to nutrient deficiencies, which can cause irreversible damage to organs and have a lasting impact on the child's wellbeing.

    Folate Availability and Neural Tube Defects

    • Neural tube closure occurs early in gestation, typically before the 6th week
    • Inadequate folate intake during this critical period can lead to neural tube defects like spina bifida
    • Folic acid fortification has reduced the incidence of these defects.

    Body Weight & Weight Gain in Pregnancy

    • Ideal weight gain during pregnancy varies based on BMI prior to conception
    • The recommended range for healthy weight gain in one pregnancy is around 11.5 - 16 kg (25 - 35 lbs).
    • Low or excessively high pre-pregnancy BMI is associated with adverse outcomes (or complications).

    Maternal Gestational Weight Gain (GWG)

    • Maternal gestational weight gain varies by trimester, with differences in rate and recommendations depending on pre-pregnancy BMI category.
    • Canadian GWG Recommendations have specified ranges of total weight gain according to different BMI categories (underweight, normal, overweight and obese). This weight gain is based on stages of pregnancy
    • An incorrect weight gain amount is associated with risk of complications for both mother and child.

    Risks Associated with Preterm or Low Birth Weight

    • Preterm birth and low birth weight are associated with an increased risk of short-term mortality, poor long-term outcomes like childhood/adult obesity and problems with cognition
    • These are associated with risk of health and developmental issues (mental, physical).

    Risks Associated with High Birth Weight

    • High birth weight or LGA (Large for Gestational Age) is linked with complications following birth and increased risk of childhood and adult obesity
    • This gestational weight gain can lead to difficult birthing processes and long-term associated health issues.

    High Risk of Complications During Pregnancy

    • Factors such as obesity lead to a range of difficulties for both the mother and the developing fetus (e.g., hypertension, gestational diabetes, cesarean section).
    • Various complications and adverse outcomes for maternal and child health can result from obesity during pregnancy.

    Factors Contributing to Low Birth Weight

    • Low weight during pregnancy, inadequate gestational weight gain, smoking, and poor maternal nutrition are among the causes of low birth weight.
    • Poor maternal nutrition, smoking, and alcohol consumption while pregnant contribute to low birth weight
    • Other maternal factors such as diseases or heredity can also increase rates of low birth weight.

    Global Concerns of Maternal Underweight and Malnutrition

    • Infant malnutrition and low birth rates are associated with global concerns for survival and development
    • Factors such as poor maternal nutrition, pre-existing deficiencies, inadequate breast feeding, and other complications may increase the rate of low birth weights and malnutrition.

    Additional Energy Requirements During Pregnancy

    • Increased energy (calorie) needs vary by trimester, with no additional needed during the first trimester, an increase of 340kcal during the second trimester, and 450kcal during the final trimester
    • The specific needs of the mother and the developing baby change during the different trimesters.

    Additional Protein Requirements During Pregnancy

    • Additional protein is needed during pregnancy (beyond the recommended daily allowance) and varies based on weight.
    • The additional protein needs to support growth, development, and health of both mother and child.

    Dietary Fat Intake During Pregnancy

    • A suitable fat intake is needed during pregnancy, however, excessive fat is also linked to adverse outcomes
    • DHA and arachidonic acid are important for fetal development, but careful attention must be paid to environmental contamination levels
    • It is recommended to include fish in the maternal diet (but the amount needs to be monitored with caution).

    General Diet/Food Advice For Pregnancy

    • Limit caffeine intake to less than 300 mg/day
    • Avoid uncooked animal protein, smoked fish, raw sushi, raw eggs, and raw meat, as well as non-nutritive sweeteners.
    • Avoid excessive vitamin and mineral supplements
    • Listeriosis (foodborne illness) risk increases during pregnancy.

    Alcohol and Fetal Growth

    • Alcohol consumption poses serious risks to the developing fetus particularly during the first trimester, limiting oxygen and nutrient delivery for development; and impacting cell growth during critical periods.
    • Fetal Alcohol Syndrome/Spectrum Disorder (FAS/FASD) is linked with irreversible brain damage, growth retardation, and organ defects.

    Exercise During Pregnancy

    • Physical activity, especially low-impact exercises, are recommended
    • Exercise aids in labor, reduces discomfort, and lowers risks such as gestation diabetes
    • Check with a medical professional prior to initiating any new exercise regime or activity.

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    Description

    Explore the significance of nutrition during pregnancy and its impact on fetal development. This quiz covers the stages of embryonic and fetal growth, highlighting the vital functions of the placenta. Test your knowledge on how maternal nutrition influences both maternal and fetal health.

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