MISC
Modifying this could create a better balance of protien, carbohydrate, and fat intake
diet
This condition puts the mother at risk for pre-eclampsia.
Hypertension.
There is a positive relationship between increasing BMI and the risk for hypertension as well as other disorders like gestational DM, pre-eclampsia, and
There are ____ unplanned cescarean sections with a BMI >35
more
The first step in the nursing process
ASSESS.
The 5As of Healthy Pregnancy Weight Gain
Ask: without judgement to discuss weight. Assess: preconception BMI and pregnancy weight gain. Advise: on weight gain guidelines. Agree: on realistic behavior. Assist: identify and resolve barriers
It is important to gain some but not too much
gestational weight gain
Obesity causes oral contraceptives to be ____ effective.
Less.
Oral contraceptives have been shown to be 24% less effective in obese women.
A BMI >30 is considered ___.
Obese.
Class I >30, Class 2 >35, Class 3 > 40
This puts the neonate at risk for hypoglycemia at birth
gestational diabetes
Recommended gestational weight gain for an obese mother is ____ than 25-35 lbs.
Less.
For BMI >30, recommended weight gain is 11-20 lbs
Lack of this can lead to spina bifida
Folic acid,
Education on the importance of getting enough folic acid during pregnancy is important. Infants of obese mothers are at higher risk for congenital anomalies.
This type of deliver can happen as a result of failure to progress or fetal distress.
Cesarean section.
C-sections occur in 38.2% of deliveries of obese mothers, compared to 26.5% of deliveries of normal-weight women.
___ than half of the women of childbearing age in the USA are considered to be obese
Less (36%)
Prevalence of obesity increase for different ethnicities. Non-Hispanic blacks and Hispanics have the highest rates.
A BMI of 18.5- 24.9 is considered ___.
Normal weight
Excess weight gain during pregnancy can result in increased risk for ___ in the infant.
Macrosomia
***Obese mother are at ____ of a risk for post partum depression.
More.