Pregnancy and Nutritional Care Plan

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Pregnancy and Nutritional Care Plan
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Pregnancy and Nutritional Care Plan
Background
The nutritional care plan focuses on diabetes among pregnant women where alerted nutrition and nursing interventions are necessary to improve nutrition and health outcomes. In addition, knowledge on adequate nutrition is necessary, where an expectant mother is expected to know more about dietary patterns and caloric intake (Alexopoulos, Blair & Peters, 2019). There is also diabetic management and self-monitoring. The ABCDs of nutritional assessment focus on anthropometric, biochemical, laboratory, clinical, and dietary evaluation methods.
Abcds Of Nutritional Assessment
Anthropometrics Tests
Anthropometrics focuses on measuring the body, weight, height, and proportions, essential when examining the pregnant mother. Based on this, there is calf circumference, body mass index (BMI), waist-to-hip ratio (WHR), and waist circumference (WC). The measurements are compared with standards considering the age and pregnancy stage while considering the nutritional status. There is also an evaluation of whether the mother is under or nutrition. At the pre-pregnancy weight of 165 pounds and height at 5 feet 7, the BMI was 25.8, slightly above the overweight level of 25-29.9. During the pregnancy, she gained 40 pounds and weighed 205 pounds with a BMI of 32.1
Biochemical tests
Biochemical assessment focus on checking a person’s level of nutrients in their urine, blood, or stools, and lab tests are necessary to evaluate the nutritional status.
Glycemic tests focus on glycosylated hemoglobin (A1C) and oral glucose tolerance tests (Berger, Gagnon & Sermer, 2016). HbA1c (glycosylated, or glycated hemoglobin) levels indicate the blood glucose levels over six to eight weeks. The glucose tolerance test measures the blood sugar levels before and after drinking solution with glucose and measures high glucose levels where 200 mg/dL and higher indicates diabetes (CDC, n.d.). Drinking the solution with glucose is recommended in pregnant women between the 24th and 28th weeks if there are suspected of having gestational diabetes.
* The nutritional anemia profile is another test, and pregnant women are at high risk of iron deficiency and adverse health outcomes. Iron deficiencies are tested, focusing on the hemoglobin levels, B12, iron, and folate.
* Blood pressure where the target is below 130
* Macronutrient and micronutrient screening, including vitamin D, help to evaluate whether there is nutrient deficiency.
* Kidney function tests include creatinine clearance.
* Thyroid function tests 
Clinical Assessment
The clinical assessment focuses on nutritional deficiencies, nutritional status, and checking for visible signs, including medical history. The physical signs focus on the patient's general health using objective data, including the vital signs and subjective assessment ...