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# of deaths in a place/time |
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First Half of Pregnancy
Anabolic Phase |
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Increase in blood plasma volume increase in nutrient stores increase in placental size |
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second half of pregnancy
catabolic phase |
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using of extra stores to support fetus |
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Birth weight is associated to |
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glucose is preferred energy for fetus |
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carb metabolism 1st half of pregnancy |
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1. we eat 2. blood glucose level increase 3. secrete insulin 4.insulin promotes energy storage 5. glucose--> glycogen, fat |
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Carb metabolism 2nd half of pregnancy |
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1.we eat 2.secrete insulin/ other hormones 3.inhibits glucose storage 4. glucose goes to developing fetus 5.mom's energy from glycogen/protein->glucose/fat |
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Conditions that cause ketone production:(3) |
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uncontrolled diabetes fasting weight loss during pregnancy |
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Ketones are used for ______ by fetus |
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Long term use of ketones by the fetus result in... |
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reduced growth impaired intellectual development |
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"Protein Metabolism during pregnancy"
_______used to synthesize new tissues |
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"Protein Metabolism during pregnancy"
mom ______ ______ store protein early in pregnancy for later use |
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"Protein Metabolism during pregnancy"
Needs met by intake (before, during, after) pregnancy? |
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"Fat metabolism during pregnancy"
First half of pregnancy... |
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"Fat metabolism during pregnancy"
Second half of pregnancy |
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mobilization and utilization of fat stores
blood lipid levels and cholesterol levels ↑ |
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production of hormones/enzymes nutrient and gas exchange remove waste barrier |
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______ needs fulfilled before the fetus |
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Placenta ___-____% of glucose delivered |
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passes easily through placenta (3) |
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does NOT pass through placenta(2) |
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Hyperplasia & Hypertrophy |
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Cell multiplication and differentiation |
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time during development when cells/tissue form
Tissues susceptible to nutrient deficiency at this time |
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neural tube(brain/ spinal cord)develop |
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Variations in fetal growth are usually caused by ______ ________ not genetics |
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Insulin like growth factor primary growth stimulator of fetus |
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Intrauterine growth retardation weight or length for gestational age is low |
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Environmental factors affecting growth |
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underwgt pre-pregnancy poor diet intake smoking drug abuse |
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SGA small for gestational age |
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infant born with wgt in less that 10% percentile |
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dSGA disproportionately small for gest. age |
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low wgt normal head circumference normal length wrinkled, small abdominal, small organs, cells smaller, low body fat |
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pSGA proportionately small for gest. age |
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wgt, lgt, head circum. all <10% |
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malnutrition during 3rd trimester when adult-higher risk of heart disease, HTN, type 2 diabetes |
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reduced # of cells in organs/tissue small wrinkled but well proportioned |
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born with wgt in 90th percentile related to prepregnancy obesity, poorly controlled diabetes
lower death rate than SGA, taller |
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Preterm delivery risks
<37 wks preterm <34 wks VERY preterm |
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increased mortality, malformations, GI respiratory problems, decreased growth/IQ |
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sudden rise in bp during 2nd half of pregnancy |
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high bp protein in urine extreme swelling(edema) in face hands or legs |
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severe headache, vision trouble, rapid wgt gain, stomach pain |
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seizures/convulsions in a pregnant woman
Life threatening/unpredictable |
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Nutrition Facts panel must list (13) |
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fat, sat. fat, trans fat, cholesterol, sodium, total carbs, fiber, sugar, protein, vit a/c, calcium, iron |
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Limit these nutrients...(5) |
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total fat, saturated fat, trans fat, cholesterol, sodium |
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fiber, vitamin a, vitamin c, calcium, iron |
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"% Daily Value"
5% or less... 20% or more... |
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to treat, cure, or prevent disease |
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health claims must include what? |
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replacement of thiamin, riboflavin, niacin, and iron to refined grains |
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addition of vitamins or minerals to food products |
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products have been modified to enhance health benefits |
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indigestible carbs that support growth of beneficial bacteria in lower intestine |
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info from 3 days/wk, trained interviewer, review completed records |
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lengthy interview, modified 24hr recall expensive. |
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client records intake training improves accuracy |
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how often a person consumes a food |
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science of measuring human body/parts |
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constancy of the internal environment. Balance of fluids, nutrients, temp., to ensure proper fuction of cells |
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"Vitamin Storage"
Water soluble Fat soluble |
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limited storage(except B12) Lasting storage |
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prevent or repair damage to cells caused by oxidizing agents (Vit c,e) |
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Linoleic Acid(omega6)
Amount needed |
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17g/day men 12g/day women |
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Alpha Linolenic(omega3)
Amount needed |
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"Trans Fats"
Hydrogenation |
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adding H to double bonds of FA to enhance storage life. (cis vs. trans structure) |
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fat soluble clear liquid found in animal products |
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omega 3 -alpha linolenic omega 6 -linoleic |
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omega 6 found in (We get enough and store in body fat) |
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vegetable oils, meats, human milk |
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omega 3 found in (body stores small amt) EPA/DHA are derivatives |
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dark green veggies, vegetable oils, flax seed |
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Dietary Reference Intakes |
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absence of production of children |
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biological capacity to bear children |
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the actual production of children |
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gonadotropin releasing hormone (GnRH) |
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acts on pituitary to release FSH and LH |
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follicle stimulating hormone (FSH) |
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growth/maturation of follicles containing ova & estrogen production w/in cells |
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stimulate progesterone secretion |
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stimulates GnRH in follicular/- in luteal phase |
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prepares uterus for fertilized ovum |
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formed from original follicle that contained the ovum prior to release. |
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steroid hormones produced in testes, ovaries, & adrenal cortex from cholesterol |
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presence of endometrial tissue in abnormal places causing pain, abnormal menstrual cycles and infertility. |
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