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Prenatal Nutrition Screening

Read the statements below. Add up the numbers in the "YES" column for those that apply for you.

 

YES

I eat fewer than 2 meals a day. 3
I eat fewer than 4 servings of fruit and vegetables a day. 2
I have less than 2 cups of milk or yogurt a day. 2
I eat more than 2 or 3 servings of candy, chips, doughnuts, or other snack foods a day. 2
I drink more than 3 glasses of soft drinks or Kool-aid a day 2
I drink beer, liquor, or wine. 2
I have gained more than 1 pound a week since I become pregnant. 2
I have been feeling sick since I found out I'm pregnant and have lost weight. 2
My last pregnancy was less than 2 years ago. 3
I have diabetes or had gestational diabetes during a past pregnancy. 3
I have or had in the past an eating disorder (anorexia or bulimia) 3
I don't always have enough money to buy the food I need. 3

Total

 

Score

0 - 2 = Healthy Eating
3 - 4 = Consider contacting Glens Falls Hospital for an evaluation by a Registered Dietitian
6 or greater = High risk. Please Contact Glens Falls Hospital for an evaluation by a Registered Dietitian.

 

 

 

Glens Falls Hospital
100 Park Street Glens Falls, New York 12801
Info: (518) 926-1000
mail@glensfallshosp.org