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Nutrition During Pregnancy and Lactation: An Implementation Guide (1992)
Institute of Medicine (IOM)

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First Prenatal Visit Modified Checklist

Use this checklist for a first-trimester visit following a recent preconception visit.

Gathering Information
Questions
  • Review medical record

  • Ask follow-up questions on eating behaviors, food use, previous recommendations

  • Infant feeding plans?

Physical Examination
  • General appearance

  • Breast Examination

  • Weight

  • Anemia: Hemoglobin <11.0 g/dl (nonsmokers)

Basic Guidance
  • Recommended diet for pregnancy

  • Usual weight gain pattern and weight gain recommendations: normal prepregnancy weight, 25 to 35 lb; underweight, 28 to 40 lb; overweight, 15 to 25 lb; obese, at least 15 lb

  • Iron supplementation (-30 mg/day) to begin by the 13th week of gestation

  • Appropriate physical activity, e.g., walking, swimming

  • Avoidance of harmful substances

  • Promotion of breastfeeding; support for the woman regardless of feeding method chosen

Addressing Problems
  • Identify continuing or new nutritional problems or concerns

    • Controlling nausea and vomiting associated with pregnancy

    • Access to food?

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