Maya is 27 years old and has been referred to a registered dietitian (you) for a
ID: 206769 • Letter: M
Question
Maya is 27 years old and has been referred to a registered dietitian (you) for assistance with galning welght. She is in her 22nd week of pregnancy and was recently diagnosed with hyperemesis gravidarum, Her physician is concerned that she has only gained five pounds thus far in her pregnancy. Prior to becoming pregnant, her weight was 136.4# and she is 5'4". Maya tells you she has been following the dietary advice for nausea provided in a popular pregnancy magazine, but it just doesn't seem to be working for her. She also wonders if she is consuming adequate nutrition for her baby and asks you if she should be taking any nutrition supplements. She stopped taking her prenatal vitamins last week to see this might decrease her nausea. Maya heard from a friend that vitamin B12 supplements are supposed to help with nausea, so she has been taking those for a few days, but they don't seem to be helping. A 24-hour food recall shows the following: 3 ounces grains, no vegetables, 3 fruits, 2 cups milk, 3 ounces of meat and 1-2 servings of fat. Questions: 1. Approximately how much weight should Maya have gained by now? What is the total recommended weight gain in light of her diagnosis of hyperemesis gravidacum (severe morning sickness)? 2. What recommendations do you have for management of nausea and vomiting during pregnancy that would apply to Maya's case? 3. Are there nutrition supplements that might be beneficial to Maya? 4. After the assessment, what is a relevant PES Statement you can write when diagnosis Maya?Explanation / Answer
question 1)
Ans:- Maya should gained 145.5 to 151.0 at 22 nd week
question 2)
Ans:- HG is characterrised by severe nausea and vomitting can be treated with Dietary changes ,rest,and antacids.
in more severe cases mother can be hospitalized and receive fluid and nutrition through IV.
Question 3)
Ans:- No, cause accourding to diet plan it had ben done already but the result was not good.
Question 4)
Ans:- Severe nausea, vomitting , food aversions,weight loss 5%,decrease urination.