Question 1

Which of the following is currently NOT implicated in fertility: A) weight status B) type of fat consumption C) alcohol consumption D) processed food consumption E) type of carbohydrate consumption Jane 26 years old and is 36 weeks pregnant. Her height is 171cm and her pre-pregnancy weight was 71kg. She has gained 14kg to date. (provide students with both the <25kg/m² and the >25kg/m² weight gain charts). The next six questions relate to this scenario.

Accepted Answer

Type of carbohydrate consumption is not directly implicated in fertility as much as the other factors listed. Weight status, type of fat consumption, alcohol consumption, and processed food consumption have clearer links to fertility based on current research.

Question 2

Based on Jane's pre-pregnancy BMI how much weight should Jane have gained by 36 weeks for optimal health&#10;A) 5-9kg&#10;B) 6-10kg&#10;C) 9.5-13kg&#10;D) 10-14kg&#10;E) 10.5-16kg

Accepted Answer

The recommended weight gain during pregnancy varies based on a woman's pre-pregnancy BMI. Based on Jane's pre-pregnancy BMI, she falls into the "normal weight" category. The recommended weight gain for this category is 25-35 pounds or 10-14kg. Therefore, option D is the best choice.

Question 3

If Jane was from an Asian background, based on her pre-pregnancy BMI what would be the optimal weight gain?&#10;A) 5-9kg&#10;B) 6-10kg&#10;C) 9.5-13kg&#10;D) 10-14kg&#10;E) 10.5-16kg

Accepted Answer

B

Question 4

Currently Jane's energy requirements are approximately:&#10;A) the same as for pre-pregnancy&#10;B) an additional 1.2MJ&#10;C) an additional 1.9MJ&#10;D) an additional 2.0MJ&#10;E) an additional 2.1MJ

Accepted Answer

According to the American College of Obstetricians and Gynecologists, during the second trimester, pregnant women require an additional 340 calories (which equals to 1.4MJ) per day, while during the third trimester this number increases to an additional 450 calories (which equals to 1.9MJ) per day. Therefore, the closest option is C, which indicates an additional 1.9MJ.

Question 5

When she starts to fully breastfeed her energy requirements will be approximately:&#10;A) the same as for pre-pregnancy&#10;B) an additional 1.2-1.3MJ&#10;C) an additional 1.9-2.0MJ&#10;D) an additional 2.0-2.1MJ&#10;E) an additional 2.2-2.3MJ

Accepted Answer

The answer of When she starts to fully breastfeed her...

Question 6

During her pregnancy what food groups should she consume more of?&#10;A) fruit and vegetables&#10;B) grains&#10;C) dairy&#10;D) meat and alternatives&#10;E) discretionary or extra foods

Accepted Answer

The answer of During her pregnancy what food groups should...

Question 7

When she is breastfeeding what food groups should she consume more of?&#10;A) fruit, vegetables and dairy&#10;B) meat and alternatives, dairy and discretionary foods&#10;C) vegetables, grains and dairy&#10;D) fruit, vegetables and meat/alternatives&#10;E) vegetables, meat and alternatives and dairy

Accepted Answer

The answer of When she is breastfeeding what food groups...

Question 8

Which of the following does NOT appear to affect breastmilk volume?&#10;A) energy restricted diet&#10;B) alcohol consumption&#10;C) regular, moderate physical activity&#10;D) Emotions&#10;E) poor maternal nutritional status

Accepted Answer

Regular, moderate physical activity does not appear to affect breastmilk volume. However, energy restricted diet, alcohol consumption, emotions, and poor maternal nutritional status can all have an impact on breastmilk volume.

Question 9

Which foods DO NOT need to be avoided during pregnancy?&#10;A) cold meat or chicken&#10;B) soft-serve ice-cream&#10;C) pate&#10;D) some fish&#10;E) freshly prepared salads

Accepted Answer

Freshly prepared salads are safe to eat during pregnancy as long as the ingredients are washed properly. This includes vegetables, fruits, and leafy greens. As for the other options, cold meat or chicken may contain harmful bacteria if not cooked or stored properly, soft-serve ice-cream may contain listeria, pate may contain harmful bacteria, and some types of fish (such as shark, swordfish, and marlin) may contain high levels of mercury, which can harm the developing baby.

Question 10

Which of the following is most readily tolerated by women experiencing morning sickness?&#10;A) a low salt, low potassium diet&#10;B) small, frequent meals&#10;C) plenty of fluids and fibre rich foods&#10;D) increased intake of foods high in iron&#10;E) drinking plenty of fluids with meals

Accepted Answer

Small, frequent meals are the most readily tolerated by women experiencing morning sickness as it helps in keeping their blood sugar levels stable and prevents excessive hunger or fullness. This may include bland foods like crackers or toast that are easy to digest. A low salt, low potassium diet may not provide enough nutrients for the expecting mother, while plenty of fluids and fiber-rich foods may be difficult to tolerate for some women experiencing nausea. Increased intake of foods high in iron may be recommended in later stages of pregnancy, but may not provide relief for morning sickness. Drinking plenty of fluids with meals may exacerbate nausea by making the stomach feel too full.

Question 11

Describe the hormonal changes that occur during lactogenesis and what they result in.

Accepted Answer

The answer of Describe the hormonal changes that occur during...

Question 12

Discuss the importance of nutrition in the first 1000 days and its impact on intergenerational health.

Accepted Answer

The answer of Discuss the importance of nutrition in the...

Question 13

What are the components of maternal weight gain during pregnancy?

Accepted Answer

The answer of What are the components of maternal weight...

Question 14

Describe which nutrients are required in higher amounts and the risk of inadequate intake during pregnancy.

Accepted Answer

The answer of Describe which nutrients are required in higher...

Question 15

Choose two of the following conditions during pregnancy and provide your advice:

Accepted Answer

The answer of Choose two of the following conditions during...

Deck 20: Pregnancy and Lactation