Ortega, Jamine Joyce C.

BSN 128

Assignment
September 14, 2009
NUTRITION

Subject:
5 months Lactating mother
53
Step 1
53 = (60+3) x 2.54
= 63 x 2.54
= 160.02 cm
DBW = ht (cm) 100
= 160.02 cm 100
= 60.02 kg
Adjusted DBW = 60.02 6.002
= 54.018 kg or 118.8 lbs
DBW Range = 54.018 5.4018 = 48.6162 49 kg
= 54.018 + 5.4018 = 59.4198 59 kg
Step 2
TEA = adjusted DBW x Factor
= 54 kg x 35
= 1890 kcal + 500 kcal
= 2390 kcal
= 2400 kcal
Step 3 and 4
g CHO = 2400 kcal x 0.65 = 1560 kcal 4 kcal/g = 390 g
g CHON = 2400 kcal x 0.15 = 360 kcal 4 kcal/g = 90 g
g FATS = 2400 kcal x 0.20 = 480 kcal 9 kcal/ g = 53.33 g
= 55 g

FOOD
I. VEG. A

MEASURE CHO
4
6

CHON
2

FATS
-

ENERGY
32

VEG. B

16

II. FRUIT

70

280

24

16

20

340

12

IV. RICE

10

230

20

1000

V. MEAT/FISH
LOW FAT
MEDIUM FAT
HIGH FAT

3
2

24
16

3
12

123
172

VI. SUGAR

10

50

200

VII. FAT

20

180

TOTAL

44

395

87

55

2423

III. MILK
HIGH FAT
LOW FAT
SKIMMED

80

COMMON PROBLEMS:
Almost half of breastfeeding moms quit before their baby is 6 months old
and often its because theyve run into problems. They go on a weight reduction
diet as it can compromise the quality and quantity of the breast milk. If
breastfeeding, you must not immediately attempt to lose weight. During the
postpartum period, which is the first six weeks after babys birth, the body goes
through many changes as it returns to its pre-pregnant state. Hormonal
fluctuations and emotional stresses can cause fatigue. And so, dieting is not
recommended as need all the energy to keep up with the increasing demands of
motherhood. Give the body enough time to recover from the stresses obtained
during labor. Excessive intake of caffeine can cause irritation and difficulty in
sleeping in infants. Additionally, caffeine inhibits the absorption of calcium. During
lactation, most mothers tend to drink fluids excessively to replace the body fluids
lost during breastfeeding. Though increased fluid intake is essential in nursing
mothers, excessive consumption of fluids can result in decreased production of
milk. If your fluid intake satisfies your thirst needs, you are able to meet the fluid
requirements needed for lactation.

3- Day Meal Plan

Day 1
FOOD
EXCHANGES

NO. OF
EXCHANGE

SAMPLE MENU

APPROXIMATE SIZE PER SERVING

2
1
2
2
2

Apple
Powdered whole milk
Boiled rice
Boiled chicken egg
White sugar

1(8 cm diameter)
cup or 4 level tbsp
1 cup
2 pieces
2 tbsp

1
2
2

Yoghurt
Binatog
Pulvoron

cup
1 cup
1 (4x2 x 1 cm)

2
1
1
3
2
2

Eggplant and petsay

Sitaw
Banana (lakatan)
Boiled rice
Kare-kare (sirloin steak)
Peanut butter
Cooking Oil for kare-kare

1 cup, cooked
cup, cooked
1 (9x3 cm)
1 cup
2 slice, matchbox size (5 x 3 x 1 cm)
2 tsp
1 tsp

2
1
4

Banana cue
Sponge cake
Halo-halo

1 (9 x 4 cm)
1 slice
2 1/3 cups

Veg. A

1 cup, cooked

Fruit
Milk (high fat)
Rice
Meat (Low fat)
Sugar
Fat

2
1
2
1
2
2

Ampalaya, eggplant, okra

& tomato
Ripe mango
Powdered whole milk
Boiled rice
Pakbet (tenderloin)
White sugar
Cooking oil for Kare-kare

BREAKFAST
Fruit
Milk (high fat)
Rice
Meat (med fat)
Sugar
Mid AM
Milk (skimmed)
Rice Equiv.
Sugar
Lunch
Veg. A
Veg. B
Fruit
Rice
Meat (low fat)
Fat
Mid PM snack
Fruit
Rice equiv.
Sugar
Dinner

2 slice (11 x 6 cm)

cup or 4 level tbsp
1 cup
1 slice, matchbox size (6 x3 x 1 cm)
2 tbsp
2 tsp

Day 2
FOOD EXCHANGES

NO. OF
EXCHANGE

SAMPLE MENU

APPROXIMATE SIZE PER SERVING

1
2
1

Powdered whole milk

Boiled rice
Fried chicken (leg)
White sugar
Cooking oil for chicken

cup or 4 level tbsp

1 cup
1 small leg (13 cm long x 3 cm diam.)
2 tbsp
1 tsp

2
1
4

Bottled, sweetened orange

Cassava
Pulvoron

2/3 cup
1 (5 cm long x 4 cm diameter)
2 (4x2 x 1 cm)

2
1
1
3
2
1

Kangkong and tomatoes

String beans pods (Sitaw)
Fresh buko water
Boiled rice
Pork sinigang
Cooking oil for pork sinigang

1 cup, cooked
cup, cooked
1 cup
1 cup
2 slice, matchbox size (6 x 3 1 cm)
1 tsp

2
1
2
2

turon
yoghurt
spaghetti
pulvoron

1 ( 9 x 3 x 1 cm)
cup
I cup
1 (4 x 2 x 1 cm)

2
2
1
2
2
2
2

Tomato and pepper fruit

Fruit cocktail
Powdered whole milk
Boiled rice
Beef kaldereta (brisket)
White sugar
Cooking oil for beef kaldereta

1 cup, cooked
6 tbsp
cup or 4 level tbsp
1 cup
2 slice, matchbox size (5 x 3 x 1 )
2 tbsp
2 tsp

BREAKFAST
Milk (high fat)
Rice
Meat (low fat)
Sugar
Fat

2
1

Mid AM
Fruit
Rice Equiv.
Sugar
Lunch
Veg. A
Veg. B
Fruit
Rice
Meat (low fat)
Fat
Mid PM snack
Fruit
Milk ( skimmed)
Rice equiv.
Sugar
Dinner
Veg. A
Fruit
Milk (high fat)
Rice
Meat (medium fat)
Sugar
Fat

Day 3
FOOD EXCHANGES

NO. OF
EXCHANGE

SAMPLE MENU

APPROXIMATE SIZE PER SERVING

1
1
2
2
2
2

Sauted squash fruit

Powdered whole milk
Boiled rice
Fried tocino (lean)
White sugar
Cooking oil for tocino
Cooking oil for squash

cup , cooked
cup or 4 level tbsp
1 cup
2 slice (11x 4 x 0.5 cm)
2 tbsp
1 tsp

2
1
4

Banana cue
Hopia hapon
Ice drop

1 (9 x 4 cm)
1 (7 cm diameter x 1 thick round
1 piece

Veg. A

1 1/2 cup, cooked

Fruit
Milk (skimmed)
Rice
Meat & fish or subs.
(low fat)
Sugar
Fat

2
1
3
2

Green papaya and sili leaves

Banana (lakatan)
yoghurt
Boiled rice
Chicken tinola (Breast meat
(pitso) )

2 (9 x 3 cm)
cup
1 cup
breast ( 6 cm long)

2
1

yema
Cooking oil for tinola

2 ( 5 x 1 cm)
1 tsp

2
2

Bottled, sweetened orange

Ensaymada

2/3 cup
2 ( 8 cm diameter x 2 cm thick)

1
1
1
2
2
2
1

Onion bulb
Ripe papaya
Powdered whole milk
Boiled rice
Sauted corned beef
White sugar
Cooking oil for corned beef

cup, cooked
1 slice (10 x 6 x 2 cm) or cup
cup or 4 level tbsp
1 cup
3 tbsp
2 tbsp
1 tsp

BREAKFAST
Veg. B
Milk (high fat)
Rice
Meat (low fat)
Sugar
Fat
Mid AM
Fruit
Rice Equiv.
Sugar
Lunch

Mid PM snack
Fruit
Rice equiv.
Dinner
Veg. A
Fruit
Milk (high fat)
Rice
Meat (medium fat)
Sugar
Fat