Jones & Bartlett Learning Publishes The Case Manager’s Handbook, Sixth Edition

The Case Manager’s Handbook, Sixth EditionWe are excited to announce the publication of The Case Manager’s Handbook, Sixth Edition by renowned author Catherine M. Mullahy. Presented in an accessible and conversational style, this practical resource helps case managers learn the fundamentals, study for the Certified Case Manager (CCM) exam, and advance their careers after the exam. Completely updated and enhanced with information on the latest developments affecting case management, it reflects the rapidly changing healthcare landscape, including the significant effects of the Affordable Care Act (ACA).

“For the past 10 years, as a Vice President with Mullahy & Associates, I have had the pleasure of working side by side with Catherine. As colleagues and friends, we have worked together in case management for over 40 years. Her vision for all that case management can be is contagious and shared with every word she speaks and writes. It is amazing to watch her transform a room of silent, often skeptical nurses, social workers, physicians, and therapists into a group of enthusiastic, networking professionals filled with hope, energy, and renewed passion for case management. I believe you, too, will be both informed and inspired as you read and refer to this sixth edition of The Case Manager’s Handbook.” – From the Foreword by Jeanne Boling, MSN, RN, CCM

The Sixth Edition includes new chapters on pediatric case management, workers’ compensation case management, key factors driving today’s healthcare system, the case manager’s role in the era of value-based health care, case management and healthcare provider strategies for managing the high-risk or high-cost patient, and transformative healthcare approaches for the millennial generation. In addition, each new print copy includes Navigate 2 Advantage Access that unlocks a comprehensive and interactive eBook, midterm and final exam, instructor’s manual, and learning analytics reporting tools.

Can’t wait to learn more? Preview a sample chapter now or visit our website.

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Happy National Nurses Week

NursesWeek2016logoToday marks the beginning of National Nurses Week, a nationwide celebration of nurses and the vital work that they do.  Observed annually, National Nurses Week begins on May 6 and ends on May 12 to commemorate Florence Nightingale’s birthday. This year’s theme is “Culture of Safety. It Starts with You.”

According to the American Nurses Association (ANA), a culture of safety includes:

  • Openness and mutual trust when discussing safety concerns and solutions without individual blame
  • Marshaling of appropriate resources, such as safe staffing- and skill-mix levels
  • A learning environment in which healthcare professionals learn from errors and proactively detect systemic weaknesses
  • Transparency and accountability

Watch the Nurses Week Video with ANA President, Pam Cipriano:

Join us this week in celebrating some of our favorite people– nurses!

We want to know how ‪‎nursing‬ or a ‪nurse‬ in particular has impacted your life. Join the conversation on our Facebook page and share your story.

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Review: Nursing Ethics, Fourth Edition “will help stimulate the moral imaginations of nursing students and professional nurses”

Nursing Ethics, Fourth EditionEthics are, without question, an essential component of nursing practice. For instance, the American Nurses Association deemed 2015 as the “Year of Ethics.” In addition, Gallop continually finds that the public sees nursing as the most honest and ethical profession.

Now our highly regarded Nursing Ethics: Across the Curriculum and Into Practice, Fourth Edition by Janie B. Butts and Karen L. Rich has received a 5-star review. Debra Gorman-Badar, BS, MA, from Saint Louis University, writing for Doody’s Review Service, assesses that it,

“…will help stimulate the moral imaginations of nursing students and professional nurses so that they are able to recognize ethical issues and…apply analytical skills in ethical decision making.”

Written to help prepare students and professionals for the moral issues they will encounter in nursing practice, the completely updated and revised Fourth Edition reflects the evolution of nursing ethics within heath care.

New to the Fourth Edition:

  • Coverage of the 2015 American Nurses Association’s Code of Ethics with Interpretative Statements
  • New case studies and activities throughout each chapter
  • Boxed features highlight research notes, legal perspectives, and ethical reflections
  • Expanded content on the ethical competencies of nurses
  • Each new print copy includes Navigate 2 Advantage Access that unlocks a comprehensive and interactive eBook, student practice activities and assessments, a full suite of instructor resources, and learning analytics reporting tools

Interested in learning more? Preview a sample chapter now or visit our website.

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Postpartum: Nutrition Tips

Lilah Al-Masri, MS, RD, CSSD, LD

Lilah Al-Masri, MS, RD, CSSD, LD

Simon Bartlett, PhD, CSCS, ATC

This month, our special guest bloggers, Lilah Al-Masri, MS, RD, CSSD, LD, and Simon Bartlett, PhD, CSCS, ATC, authors of 100 Questions and Answers about Sports Nutrition & Exercise, offer expert tips on postpartum nutrition.

Congratulations!  If you are reading this article, it means you have delivered or you are getting close to delivery.  Nutritional intake postpartum is important, as there must be a balance between fueling your body for healing and breastfeeding and weight loss.

This article will focus on several nutrition concerns women have postpartum – weight loss, breastfeeding needs, healthy snacking, fluid consumption, vitamin and mineral intake, caffeine and alcohol consumption, and exercise.

Weight Loss

The goal is for gradual weight loss postpartum at the rate of approximately 1lb/week (or 4.5lbs/month) after the first month.  Although many want to return to their pre-pregnancy weight quickly, rapid weight loss may lead to fatigue, decrease bone mineral density, negatively impact mood, and may interrupt milk supply (if breastfeeding).  Most women return to their pre-pregnancy weight within a year by eating a healthy diet and incorporating moderate exercise back into their routine.  Remember, the weight gained during pregnancy was gradual so the weight loss will be gradual as well.  Don’t fall victim to fad diets, as they will most likely set you up for short-term success and long term disappointment.

Breastfeeding Needs

An additional 500 kcal/day is recommended for woman who breastfeed.  This may be higher in cases where the mother is underweight, exercising vigorously, and/or nursing more than one infant.  The increased needs can be met by adding healthy snacks similar to those consumed during pregnancy.  By listening to your body’s hunger signals, you will be able to stay well fueled.

Healthy Snacking

In addition to consuming well-balanced meals, snacks are a very important to help fuel breastfeeding and ensure safe weight loss.  Use your hunger level to gauge if you need to consume a light, moderate, or heavy snack.  Examples of a light snack would include fresh fruit, raisins, dry cereal, low-fat Greek yogurt or low-fat pudding. A moderate snack would include fruit with peanut butter, oatmeal, cereal and milk or yogurt parfait.  A heavy snack would include a peanut butter or lean protein sandwich, cheese and crackers or omelet.  For more information refer to Healthy Snacking 101.

Fluid Consumption

Fluid needs increase with breastfeeding and women who are breastfeeding may notice increased thirst.  It is important to drink enough to quench your thirst.  It is often advised that fluid intake for women should be 91oz or 11.5cups per day.  This, though, can vary due to activity level and environmental conditions thus hydration levels are best assessed by urine color and frequency.  You know you are well hydrated if you are urinating frequently and it is pale yellow in color.  Top fluids to consume include water, fruit juices, low-fat dairy, decaffeinated coffee and tea, low-sodium soups, and water-rich fruits and vegetables.  Limit sodas, sugary beverages, and drinks containing caffeine and alcohol.

Caffeine and Alcohol Consumption

According to the Institutes of Medicine, breastfeeding mothers can consume occasional small amounts of caffeine and alcohol.  A moderate amount of caffeine would be 2-3 cups of coffee/day or approximately 200-300mg/caffeine per day.  Guidelines for consuming alcohol include 1) waiting until your baby has established a breastfeeding pattern (~3 months of age), 2) wait at least four hours post-single alcoholic drink before breastfeeding, and/or 3) express breast milk prior to consuming an alcoholic beverage to use for a later feeding.

Vitamins and Minerals

Two minerals that often require special attention for postpartum women include calcium and iron.  See chart below for more information.  In addition, postpartum woman should consume a variety of foods to provide the vitamins and minerals necessary for healthy and breastfeeding.  These vitamins and minerals are plentiful in a varied diet, but it is often recommended that breastfeeding mothers continue to take a pre-natal vitamin.  This is best discussed with your Physician and/or Registered Dietitian.

Minerals RDA Benefit Sources
Calcium RDA:

1000mg (19-50yo)

1300mg (adolescents)

Protect bone density, aid in muscle relaxation, blood coagulation, transmission of nerve impulses, may slightly increase weight loss milk, cheese, yogurt, tofu,

cottage cheese, fish (sardines, salmon, clams), greens, calcium-fortified

beverages such as orange juice and soymilk

Vitamin D RDA: 600 IU Enhances calcium absorption fatty fish, fortified dairy and soy products, fortified eggs, fortified cereals
Iron RDA: 15mg Indicated to help return to pre-pregnancy levels and/or if blood loss higher than normal during vaginal delivery dried fruits, iron-fortified cereals,

lean red meat, fish, poultry, dried fruits

Exercise

Exercise postpartum is an important part of physical and emotional recovery.  Specific guidelines for postpartum exercise (vaginal and Cesarean delivery) will be discussed in the June 2016 article.

Quick Tips

  • Plan ahead. Make sure you have plenty of healthy foods and snacks on hand prior to the baby’s arrival.
  • Hydrate! Grab a water bottle or two.  Always carry a water bottle with you.  If you are breastfeeding, keep another one next to the chair or in the room you intend to use for most of your nursing.
  • Keep snacks accessible. Placing them by your water bottle, in the diaper bag, and near the chair you nurse will ensure you have the fuel you need when you are hungry.
  • Nursing is a great time to hydrate and snack. While sitting to nurse, you have ample time to provide your body with nourishment.
  • Eat balanced meals – meals that include carbohydrates, proteins, and fats.
  • Consume calcium rich foods throughout the day.
  • Do not weigh yourself more than one time/week. Remember the goal is gradual weight loss.
  • Avoid fad diets. Instead focus on consuming healthy meals and snacks.
  • If you feel that you need nutrition support, consult with a Registered Dietitian.

Nutritional needs postpartum vary and it is valuable for women to be in tune with their body’s needs and understand the basic recommendations.  If you feel confused or feel that your questions are not being answered to your satisfaction, make an appointment with a Registered Dietitian who can help you meet your needs for a safe and healthy recovery.

Stay tuned for next month’s article that will focus on postpartum exercise recommendations.

This six-part blog series discusses the current nutrition and exercise recommendations for women before, during, and after pregnancy.  Pregnancy can certainly be a trying and confusing time and these articles are intended to provide answers to the most popular questions women (and often their providers) ask.

http://www.jblearning.com/catalog/9780763778866/More information can be found in 100 Questions and Answers About Sports Nutrition and Exercise by Lilah Al-Masri, MS, RD, CSSD, LD and Simon Bartlett, PhD, CSCS, ATC.

Do you have a nutrition or exercise question? If so, submit them to adefronzo@jblearning.com. Questions will be answered on a monthly basis.

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Benefits of Exercise During Pregnancy

Lilah Al-Masri, MS, RD, CSSD, LD

Lilah Al-Masri, MS, RD, CSSD, LD

Simon Bartlett, PhD, CSCS, ATC

This month, our special guest bloggers, Lilah Al-Masri, MS, RD, CSSD, LD, and Simon Bartlett, PhD, CSCS, ATC, authors of 100 Questions and Answers about Sports Nutrition & Exercise, offer expert insights on the benefits of exercise during pregnancy.

When you’re struggling to keep a meal down during the first trimester, adapting to a changing body in the second, or huffing and puffing to make it to the bathroom as you near your due date then hitting the gym might be the last thing on your mind.  But a growing body of research suggests that exercise has big benefits for both you and your baby.  Even a simple walk around the block or a session of stretching can lead to an improved mood, better sleep, an easier labor and a quicker recovery.

For all of our adult life we have been told that regular exercise provides a myriad of benefits such as keeping weight off and helping prevent diseases such as diabetes, heart disease, stroke and certain cancers.  During pregnancy, there are even more reasons to keep moving- or get moving, even if you haven’t had an exercise routine in the past.

Exercise during pregnancy has been found to:

  • Reduce risk of pregnancy complications: In one 2012 study, women who participated in fitness programs four times a week were less likely to develop gestational diabetes and less likely to have unplanned cesarean sections than those who didn’t exercise.
  • Lower odds of delivery complications: In a study of women in Spain, women who exercise three times a week gained less weight during pregnancy and were less likely to have macrosomic babies (babies weighing more than nine pounds at birth). Having a heavier baby can lead to complications for both mother and baby during delivery.
  • Faster post-delivery recovery: the more you increase your pregnancy fitness, the faster you will recover physically after childbirth and the more fit you will be after delivery.  In the same study, women who exercised recovered earlier after labor, resuming regular activities faster than those who did not exercise.
  • Boost your mood: Women are more susceptible to depression during pregnancy, with an estimated one in two of all women reporting increased depression or anxiety while they are expecting. Research has found that exercise during pregnancy reduces depression by releasing endorphins that help improve mood while diminishing stress and anxiety.
  • Lower blood pressure: Blood pressure occasionally increases during pregnancy, but too much and it can be a warning sign of preeclampsia. Staying active during pregnancy- in one recent study by simply walking regularly- has been found to keep blood pressure from rising.
  • Ease back and pelvic pain: There’s no denying that the growing fetus puts extra pressure on your lower body, resulting in low back pain and aching pelvis. Exercising, however, may result in less lower-back and pelvic pain especially during the latter stages of pregnancy.
  • Fight fatigue: Low –level tiredness plagues many women during the first trimester and then again late in the third trimester. While it may seem paradoxical, sometimes getting too much rest can make you feel more tired.  So getting a little more exercise (never pushing to exhaustion) may be the right solution to improving energy levels.  Going for a walk or doing a yoga class can make a big difference to boosting your energy levels.
  • Improve sleep: While many pregnant women report having difficulty falling asleep, recent studies have shown that women who exercise consistently (as long as it is not too close to bedtime) fall asleep quicker, sleep deeper and wake up feeling more refreshed that women who did not exercise.
  • Relieve constipation: An active body encourages active bowels. Walking briskly for 30 minutes can go a long way to keeping pregnant mothers regular.

Exercise benefits during pregnancy don’t just end with the mother. Recent research, whilst still ongoing, is beginning to show promising results and potential benefits for the fetus as well.  A few of the potential benefits of exercising during pregnancy for your baby:

  • Reduce susceptibility to diabetes: One study found that babies born to mothers who exercised during pregnancy had better insulin sensitivity, even as adults.
  • Boost brain health: Some preliminary research is showing that some mothers who exercised during pregnancy had children that were less prone to neurodegeneration in later life.
  • Lower BMI: Mothers exercising during pregnancy have children that were significantly less prone to obesity and diabetes with benefits extending into adulthood.
  • Fitter heart: One group of researchers looking at mothers who worked out during pregnancy found lower fetal heart rates at 36 weeks gestation (higher heart rates can be a sign of fetal distress). A follow up study found the benefits of the mother’s exercising even after birth.

Most studies on the benefits of exercise during pregnancy look at the effects of 150 minutes of activity per week. Those sessions could be five 30-minute sessions or three or four longer periods.  The benefits are incremental, researchers believe, which means that some exercise- even if you don’t hit that 150-minute mark- is better than none.  Anything that raises your heart rate and gets your muscles active counts- including walking, jogging, yoga, Pilates, dance, aerobics and swimming.  Remember, start out slowly, build up gradually and avoid contact sports and activities.

Stay tuned for next month’s article that will focus on postpartum nutrition tips.

This six-part blog series discusses the current nutrition and exercise recommendations for women before, during, and after pregnancy.  Pregnancy can certainly be a trying and confusing time and these articles are intended to provide answers to the most popular questions women (and often their providers) ask.

http://www.jblearning.com/catalog/9780763778866/More information can be found in 100 Questions and Answers About Sports Nutrition and Exercise by Lilah Al-Masri, MS, RD, CSSD, LD and Simon Bartlett, PhD, CSCS, ATC.

Do you have a nutrition or exercise question? If so, submit them to adefronzo@jblearning.com. Questions will be answered on a monthly basis.

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Review: Professional Skills for the Pharmacy Technician is “the most valuable reference and educational tool available for pharmacy technicians”

Professional Skills for the Pharmacy TechnicianThe recently published Professional Skills for the Pharmacy Technician by Stephanie C. Peshek just received a perfect score of 100 and 5 stars from Doody’s Review Service. Jennifer L. Colon, PharmD, MS, MBA, from Temple University School of Pharmacy, writing for Doody’s Review Service, calls it,

“…the most valuable reference and educational tool available for pharmacy technicians. [It] stands out [because it acknowledges] advancing technology and…the need to integrate pharmacy technicians as valued members of the healthcare team.”

Professional Skills for the Pharmacy Technician aids technicians in viewing themselves as professionals within the health system. This easy-to-read text addresses skills that facilitate interprofessional interactions in the workplace and increase safety in pharmacies by improving communication.

  • Helps students understand the background and history behind policies and workplace decisions
  • Uses real-life case studies and discussion questions to promote a review of the reasoning behind good and bad decisions
  • Aids pharmacy technicians in becoming key contributors in creating a quality work environment

Would you like to learn more? Preview a sample chapter, visit our website, or watch a webinar with the author:

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5-Star Review for Advanced Practice Nursing: Essential Knowledge for the Profession, Third Edition

Advanced Practice Nursing, Third EditionAdvanced Practice Nursing: Essential Knowledge for the Profession, Third Edition by Susan M. DeNisco and Anne M. Barker just earned top marks with a 5-star review and a perfect score of 100 from Doody’s Review Service. Kathleen M. Woodruff, DNP, RN, ANP-BC, from Johns Hopkins University School of Nursing, writing for Doody’s Review Service, says that,

“This is a well-organized and evidence-based contribution to nursing scholarship. It investigates a variety of current healthcare issues that are of primary concern globally to all professional advanced practice nurses.”

An essential text for all levels of graduate nursing preparation, the Third Edition is a unique compilation of chapters curated into a comprehensive, well-rounded, and current resource for the advanced practice nursing student.

  • Content framed around the core curriculum of both the MSN and DNP Essentials
  • Addresses the rapid changes in the healthcare environment with a special focus on healthcare finance, electronic health records, quality and safety, and emerging roles for the advanced practice nurse
  • New content from professional experts

Would you like to learn more? Preview a sample chapter now or visit our website.

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5-Star Review for Ethics in Health Administration: A Practical Approach for Decision Makers, Third Edition

Ethics in Health Administration, Third EditionExcellent news to share– Ethics in Health Administration: A Practical Approach for Decision Makers, Third Edition by Eileen E. Morrison just received a 5-star review. According to Joseph T. Norris, MA, from Saint Louis University, writing for Doody’s Review Service,

“This is a very good book for interested students and college professors to begin digging into the world of healthcare ethics from the perspective of business and administration.”

Given the many new advances in technology, as well as the roll out of the Affordable Care Act, today’s healthcare administrators require a strong foundation in practice-based ethics to confront the challenges of the current healthcare landscape. Ethics in Health Administration: A Practical Approach for Decision Makers, Third Edition translates the principles and practice of ethics into usable information for application to the real world of healthcare administration and the critical issues faced by today’s healthcare administrators.

What else makes the Third Edition so special?

  • Two new chapters on ethics surrounding the Affordable Care Act (ACA) of 2010 and Public Health make this text relevant to the issues facing today’s healthcare administrator
  • Fictional cases based on real-world events help to emphasize chapter content and create interest for the learner
  • Each chapter includes points to ponder, summary statements, websites, and additional resources to further enhance learning
  • The author’s reader-friendly writing style easily engages students while challenging them to think critically

Interested in learning more? Preview a sample chapter now or visit our website.

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Chism’s The Doctor of Nursing Practice: A Guidebook for Role Development and Professional Issues, Third Edition Receives 5-Star Review

The Doctor of Nursing Practice, Third EditionLisa Astalos Chism’s The Doctor of Nursing Practice: A Guidebook for Role Development and Professional Issues, Third Edition just earned top marks with a perfect score of 100 and a five-star review. Kathleen M. Woodruff, DNP, RN, ANP-BC, from Johns Hopkins University School of Nursing, writing for Doody’s Review Service, raves that,

“This is a well-written book that addresses current issues in our healthcare system [and] explores the evolution of DNP education and the progression of roles where DNP graduates are achieving success.”

The Doctor of Nursing Practice: A Guidebook for Role Development and Professional Issues, Third Edition presents historical and current data around the DNP degree by exploring the role of the DNP graduate and the challenges associated with the BSN-to-DNP degree pathway.

Organized in two parts, the first reviews the DNP degree and the various roles that a graduate may assume upon completing their degree. Part II describes the unique professional issues faced by DNP graduates and provides tips on how to maneuver them. The Third Edition also explores the future of the DNP degree, real-life situations graduates are likely to encounter, and the author’s personal anecdotes as a DNP graduate.

New to the Third Edition:

  • New chapter on the DNP graduate as information specialist
  • New chapter on the challenges and opportunities of the BSN-to-DNP path
  • Interviews with DNPs

Interested in learning more? Visit our website.

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During Pregnancy: Nutrition Tips

Lilah Al-Masri, MS, RD, CSSD, LD

Lilah Al-Masri, MS, RD, CSSD, LD

Simon Bartlett, PhD, CSCS, ATC

This month, our special guest bloggers, Lilah Al-Masri, MS, RD, CSSD, LD, and Simon Bartlett, PhD, CSCS, ATC, authors of 100 Questions and Answers about Sports Nutrition & Exercise, offer expert insights on nutrition during pregnancy.

Nutritional needs during pregnancy change as the pregnancy progresses. The first trimester of pregnancy not much changes in the way of calorie intake, but this is the time women often experience nausea and its side effects. As the pregnancy moves into the second and third trimesters, the effects of nausea tend to disappear and the calorie needs increase. Although no two pregnancies are the same, most women find that they tend to experience many of the same symptoms from one pregnancy to the next.

This article will focus on the most common nutrition concerns women have during pregnancy – Gastro-intestinal (GI) issues, weight gain, healthy snacking, fluid consumption, vitamin and mineral intake, nonnutritive sweeteners, and mercury.

GI Issues

Often woman experience nausea, vomiting, food aversions, cravings, taste changes, and/or reflux during the first trimester of pregnancy. The good news is that the symptoms usually subside after the first trimester or by mid-way through the second. The not-so-good news is that you may not feel well for several weeks and may have a hard time finding foods that are appealing. In addition, you may find that certain foods are harder to digest and/or cause heartburn (such as highly acidic foods, caffeinated beverages, chocolate, spicy foods, high fat foods).

The best advice is to keep a variety of foods and beverages available and snack frequently. Often consuming small amounts of food (and beverage) six times per day will help keep energy levels high and reduce the early symptoms of pregnancy.

Healthy Weight Gain

Weight gain during pregnancy is always a top concern. The Institute of Medicine (IOM) suggests that weight gain during pregnancy be based upon pre-pregnancy Body Mass Index (BMI). Note that these are averages and weight gain may not be steady from week to week (i.e. – one week you may gain two pounds and the next week a half pound). The goal is for a steady increase over several months. For the most accurate track of weight gain, weigh yourself once a week, on the same scale at the same time of day. It is best to weigh yourself nude first thing in the morning after you void and prior to consuming any food or beverage. The consistency is important to obtaining an accurate rate of gain. Although very important, it is often harder to get consistent weight checks at your provider appointments since you are fully clothed and the appointments are rarely at the same time or on the same scale.

Institute of Medicine suggested weight gain during pregnancy based upon pre-pregnancy BMI (Body Mass Index (BMI) = weight (kg)/height (m)2):

bmipregnancy

Healthy Snacking

Adding snacks to your daily routine is important, especially as the pregnancy progresses. Singleton pregnancy energy needs increase in the 2nd and 3rd trimesters adding 340 kcal and 452 kcal, respectively. For multiple pregnancies, sufficient energy and an additional 50 grams of protein per day is wise starting in the 2nd trimester.

Use your hunger level to gauge if you need to consume a light, moderate or heavy snack. Examples of a light snack would include fresh fruit, raisins, dry cereal, low-fat Greek yogurt, low-fat pudding. A moderate snack would include fruit with peanut butter, oatmeal, cereal and milk, yogurt parfait. A heavy snack would include a peanut butter or lean protein sandwich, cheese and crackers, omelet. For more information refer to Healthy Snacking 101.

Good sources of protein include: peanut or almond butter (2 TBSP = 7g), greek yogurt (5oz = 12g), milk (8oz = 8g), cheese (1oz=7g), eggs (1= 8g), beans (1/2c = 7g), chicken (1oz = 8g).

Fluid Consumption

Fluid consumption is necessary to keep energy levels high and reduce the incidence of headaches, nausea, dizziness, bloating, and constipation. It is estimated that consuming 10 glasses of liquids/day in addition to the liquids in foods will keep you hydrated. This, though, may vary and thus the best way to assess your hydration status is to aim for clear/pale yellow urine.

Vitamins and Minerals

Pregnant woman should consume a variety of foods to provide the vitamins and minerals necessary for a healthy pregnancy. These vitamins and minerals are plentiful in a varied diet, but supplementation may be necessary in some cases and should be discussed with your Physician and/or Registered Dietitian.

minerals

Nonnutritive sweeteners

Artificial sweeteners provide a sweet taste to foods and beverages without adding calories. Although there is no nutritional need to consume the sweeteners, you may choose to add them in your diet and should know which are safe and which to avoid.

Safe: Stevia (PureVia, Sweet Leaf, Truvia), Sucralose (Splenda), Aspartame (Equal, NutraSweet, Nutra-Taste)

Avoid: Saccharin (Sweet’N Low), Acesulfame K (Sunnett, Sweet One, Ace-K), Nectresse

*Aspartame consumption should be limited to 1-2 foods or beverages/day.

Mercury

It is recommended that pregnant woman consume 8-12oz of seafood/week to boost omega-3 fatty acid intake. Some fish do contain higher levels of mercury and thus should be limited or avoided. White (albacore) tuna should be limited to 6oz/week and tilefish, shark, swordfish and king mackerel should be avoided. If you do consume seafood, it is important to refer to the Federal Drug Administration (FDA) website for updates.

Nutritional needs during pregnancy vary and it is valuable for women to be in tune with their body’s needs and understand the basic recommendations. If you feel confused or feel that your questions are not being answered to your satisfaction, make an appointment with a Registered Dietitian who can help you meet your needs for a safe and healthy pregnancy.

Stay tuned for next month’s article that will focus on the benefits of exercise during pregnancy.

This six-part blog series discusses the current nutrition and exercise recommendations for women before, during, and after pregnancy. Pregnancy can certainly be a trying and confusing time and these articles are intended to provide answers to the most popular questions women (and often their providers) ask.

http://www.jblearning.com/catalog/9780763778866/More information can be found in 100 Questions and Answers About Sports Nutrition and Exercise by Lilah Al-Masri, MS, RD, CSSD, LD and Simon Bartlett, PhD, CSCS, ATC.

Do you have a nutrition or exercise question? If so, submit them to adefronzo@jblearning.com. Questions will be answered on a monthly basis.

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