1. BMI = (Weight in Pounds / ( Height in inches x Height in inches ) ) x 703
BMI = (110/(64 x 64)) x 703
BMI = 18.9
Michelle’s BMI is determined in the normal range. 2. Regarding die IOM Guidelines and the weight gain chart on Blackboard Michelle´s weight gain should be 6 - 12 pounds. Presently, she is recording a weight gain of only one pound. 3. Michelle should gain weight: a. Considering the slides (Maternal Weight Gain & Pregnancy Outcomes) 2 - 4 pounds during her first trimester are recommended, compared to the “Prenatal Weight Gain Chart” on Blackboard 2 - 6 pounds shown. b. During her entire pregnancy she has to gain 25 – 25 pounds on the recommendation of WIC gain chart. The weight gain is connected to her Ibs. 4. Michelle is suffering from nausea and vomiting. Here are three suggestions to decrease: a. She should avoid stress as much as possible. (Lecture slides: Nutrition Assessment and Guidance in Pregnancy) b. Dietary interventions can help decreasing nausea and vomiting, e.g. separate liquid and solid food intake and select foods that are well tolerated as well as avoiding foods that triggers nausea. (Brown, Judith E., 129) c. From my own experience as a pharmacist, I can recommend her to stand up very slowly. The body has to adapt to position changes. Eating small portions slowly and frequently can also be a cheap and helpful strategy, too. 5. Iron is important during pregnancy, because it prevents the risk of preterm delivery and low-birth-weight infants by two to three times. Furthermore, iron-deficiency during pregnancy can cause lower scores in intelligence, language, gross motor, and attention tests(Brown, Judith E., 119). Iron binds on hemoglobin in the blood. It is responsible for the transport of oxygen through the body and provides oxygen supply especially in the brain. Under examination her hemoglobin status about 10.7g/dL. She is in the