Running head: CASE STUDY 8

Lesson 8 Case Study

Interview Clients for Nutrition Related Information
Determine Basic Concepts of Medical Nutrition Therapy
Angela Martin
United States University

CASE STUDY 8

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Interview Clients for Nutrition Related Information

Introduction
This case analysis is about Gina who is an inmate at the maximum security prison in
Death Valley County. She is 27 years old and serving a life sentence for murdering her sister and
husband. She is expecting a baby in May. Under state law she must be served a diet suitable for a
pregnant woman. The baby will likely be born at the prison and put in foster care. Custody of the
baby remains unclear. Gina would like to breastfeed the baby and keep it with her in prison.
1. How many months pregnant is Gina?
According to the information presented in the Case Study, Gina is five months pregnant
because her delivery is due in May and its currently January.
2. What was Ginas Ideal Body Weight before she became pregnant?
The Percentage Ideal Body Weight can be calculated by adding 2.3 kg for each inch after
5 feet
Height = 66 inches
Ideal Body Weight = 45.5 kg + 13.8 kg
Ideal Body Weight = 59 kg
3. How much weight has she gained?
Since Ginas pre-pregnancy weight was 102 lbs and now she weighs 137 lbs, so she has
gained in total 35 lbs.
4. What is a usual weight gain for single birth pregnancy?
According to Chu, Callaghan, Bish and D'Angelo (2009) the amount of weight a female
gains during pregnancy can have a direct affect on mother and babys future and immediate
health outcomes. Since the population demographics of women around the world have modified,
so greater number of females are becoming obese and overweight during conception. According
to the Institute of Medicine (IOM) gestational weight gain guidelines that calculate weight gain
on the basis of body mass index, usual weight gain for single birth pregnancy is 25 to 35 lbs.
Overweight

15-25 lbs

CASE STUDY 8

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Normal Weight
Under Weight

25-35 lbs
28-40 lbs

5. Has Gina gained 1) too little weight, 2) too much weight, or 3) the right amount of
weight?
According to the weight gain stats discussed in previous question, Gina has gained the
right amount of weight.
6. Gina is having fasting blood glucose test. Why is this test done during the 24-26th weeks
of pregnancy?
Majority of medical practitioners recommend fasting blood glucose test between 24-28th
weeks of pregnancy due to the occurrence of gestational diabetes. Gestational diabetes is a
condition of high blood sugar that pregnant women can get during pregnancy. Gestational
diabetes is a common health concern in pregnancy as around 2% to 5% pregnant women have it.
Since, gestational diabetes cannot be identified by any other symptoms, so conducting a fasting
blood sugar test is the only alternative.
7. Ginas fasting blood glucose is over 200 gm/kL. She has been diagnosed with gestational
diabetes. Look at her food diary (below) and determine the approximate calories,
carbohydrate, and fat content of yesterdays intake. Use the AND (Academy of Nutrition
and Dietetics, formerly known as American Dietetic Association [ADA]) Exchange Lists to
determine calories, carbohydrate, and fat.
Portion
Food
1
Glazed Doughnut
Cup
Orange Juice
36 Oz.
Diet Soda Pop
10inches
Cheese Pizza
1 cup
Tossed Salad with Dressing
4
Oatmeal Cookies
4 Oz.
Baked Chicken
1 Cup
Mashed Potatoes
1 Cup
Green Beans
3
Rolls with butter

Kcal
260
56
12
330.5
22
448
220
214
31
270

CHO (gm)
31
13
0.84
36
4.46
69
0
35
7
42

FAT (gm)
14
0.2
0.07
14
0.07
18.08
8.8
7
0.2
7.5

CASE STUDY 8
8 Oz.
1

4
Whole Milk
Brownie
Total

136
112
2111.5

10.25
12
260.55

7.37
7
84.29

8. Plan a 2000 Calorie diet that includes 30 gms CHO at breakfast, 45 gms at lunch and
supper and 15 gms at bedtime.
Portion
3
1 Cup
1 cup

Food

Kcal CHO (gm)

Breakfast
Boiled Eggs
Orange Juice
Tossed Salad with Dressing

FAT (gm)

456
112
22
590

2
26
4
32

16.5
0.4
0.07
17

15
136
107
498
756

3.5
5
17.5
18
44

0.1
7.37
3.5
30
40.97

440
55
136
15
646

0
5.5
5
3.5
14

17
2.5
7.37
0.1
27

Lunch
1/2 Cup
4 Oz.
1/2 Cup
8 Oz.
8 Oz.
Half Cup
4 Oz.
1/2 Cup

Green Beans
Whole Milk
Mashed Potatoes
Homemade Chicken Fried Steak
Dinner
Baked Chicken
Spinach Salad
Whole Milk
Green Beans

Running head: CASE STUDY 8

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References

Chu, S. Y., Callaghan, W. M., Bish, C. L., & D'Angelo, D. (2009). Gestational weight gain by
body mass index among US women delivering live births, 2004-2005: fueling future
obesity. American journal of obstetrics and gynecology,200(3), 271-e1.