The following HTML text is provided to enhance online
readability. Many aspects of typography translate only awkwardly to HTML.
Please use the page image
as the authoritative form to ensure accuracy.
Check the medical record and the nutrition questionnaire to identify relevant questions and avoid unnecessary repetition. Useful sociodemographic data includes maternal age, ethnic background, marital status, and evidence of low income.
Sociodemographic, Obstetric, Medical, and Life-Style Factors
What vitamins,minerals,or other supplements are you taking?How much? How often? Why?
Have you had anemia,"low blood," or "low iron"?
Are you breastfeeding now?
Are you planning to become pregnant in the next year?
How do you feel about your current weight?
Have you ever been underweight? Overweight? What,if anything,did you do about it?
If an eating disorder is suspected, ask: Does it bother you toknow that you are going to be weighed? If yes, When you know youwill beweighed,do you ever eat less? Force yourself to vomit? Uselaxatives or diuretics? Exercise a lot?
Have you recently gained or lost weight? How much? How fast? Wereyou trying to lose weight? If yes, Using what type of plan?