Page 117 - كتاب تمريض نسا الاكتروني
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                    1.  Artificial sweeteners,  especially aspartame,  which  can be associated with

                        headaches and dizziness

                    2.  Caffeine

                    3.  Drinks and foods with a high sugar content





                                             Weight Gain



            1. Expected weight gain

              a. Trimester 1--Two to 4 Ib total


              b. Trimester 2—1/4 Ib per week
              c. Trimester 3-One pound or- less per week


              NB: Ib= 1250 gm


            2. Problems with weight gain or loss

              a. If the patient is gaining more than 2 lb per week, check for problems.

              b. The patient can gain 10% of her original body weight before there is clinical evidence

                  of edema.

              c. Weight loss is most significant in the first trimester, because the baby grows rapidly

                  and needs nutrients.

              d. Weight  loss  of more  than 5 lb in 2 weeks  requires a  diet history,  lab tests,  and

                  consultation with a physician.


            3. Management

              A. Loss of weight or failure to gain appropriately: try to determine the reason and

                  treat the patient accordingly.

                  1. Nausea or vomiting



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