Case Example: Kayla

Kayla is a 20-year-old woman, who is about four months pregnant. She has not received medical care for her pregnancy because she has no medical insurance. She has financial problems, and sometimes “runs out of food.”

Kayla says she experienced nausea and vomiting for about three months and lost weight during that time. Her current weight is ten pounds more than her reported pre-pregnancy weight; her pre-pregnancy weight was appropriate for her height. She is approximately 5 feet, 5 inches tall and weighs about 145 pounds.

1. Estimate Kayla's energy needs. You estimated her pre-pregnancy energy needs to be about 2100 calories. (See table on nutrient needs during pregnancy)

2. Estimate Kayla's protein needs. (See table on nutrient needs during pregnancy)

3. What nutrients are you concerned about? (Check all that apply)