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Health, 08.07.2019 16:20 natalie2sheffield

Renee is a 21-year-old african american woman in her 35th week of pregnancy. she is married and the mother of two young children. her pre-pregnancy bmi was 18.1. she has gained 24 pounds since becoming pregnant, but at her most recent prenatal visit, she was found to have lost a pound over the past week. she says that her weight loss is due to ā€œstress.ā€ renee says she enjoys eating canned spinach cooked in tomato sauce with chopped onions and craves ā€œnapoleonā€ flavored ice cream. her 24-hour recall is as follows: breakfast: 16 oz kiwi strawberry drink lunch: 16 oz lemonade1Ā½ baked chicken breast3 cups canned spinach cooked in canned tomato sauce and onion2 slices of carrot cake with cream cheese frostingsnack: 8 oz whole milk1 peanut butter and jelly sandwichdinner: 16 oz decaffeinated tea5 oz beef and rice dinner4 scoops neapolitan-style ice creamsnack: 24 oz water1 buttermilk biscuit1. why canā€™t the nurse use reneeā€™s current weight to calculate a bmi for her? 2. considering reneeā€™s pre-pregnancy bmi, what weight gain goals would you give renee? 3. what other factor besides energy intake from foods could cause a pregnant woman to gain weight? 4. on reviewing her 24-hour dietary recall, what suggestions might you have for renee about: a. her food choice for breakfast? b. her intake of fruits and vegetables? c. her intake of concentrated sweets? d. increasing her calcium intake?

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