NURSING 265 Lecture Notes - Lecture 10: Folic Acid, Neural Tube Defect, Postpartum Period
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11. 2 to 15. 9 kg (25 to 35 lb). The general rule is that clients should gain: 1 to 2 kg (2. 2 to 4. 4 lb) during the first trimester and after that, a weight gain of approximately 0. 4 kg (1 lb) per week for the last two trimesters. Underweight woman are advised to gain 28 to 40 lb; An increase of 340 calories/day is recommended during the second trimester. An increase of 452 calories/day is recommended during the third trimester. If the client is breastfeeding during the postpartum period: An additional intake of 330 calories/day is recommended during the first 6 months. An additional intake of 400 calories/day is recommended during the second. Increase intake of foods high in folic acid. Crucial for neurological development and the prevention of fetal neural tube defects. Leafy vegetables, dried peas and beans, seeds, and orange juice. Breads, cereals, and other grains are fortified with folic acid.