Sadie is a 37-year-old teacher in her 20th week of pregnancy. She is 5 ft 8 in tall and weighs 195 lb. Her pre-pregnancy weight was 180 lb. She gained 50 lb during her first pregnancy 2 years ago. Her doctor has recommended that she limit her weight gain during this pregnancy. She enjoys swimming but has not been exercising regularly since discovering she was pregnant. Sadie has experienced morning sickness throughout much of this pregnancy and says she feels better when she eats starchy foods such as bread, potato chips, and pasta. She reports recent problems with constipation and is seeking ways to relieve this discomfort.

Sadie, a 37-year-old teacher in her 20th week of pregnancy, has been advised by her doctor to limit weight gain. She has a history of gaining 50 lb in her previous pregnancy, and her current weight is 195 lb. She experiences morning sickness and finds relief in starchy foods.

Sadie is seeking ways to relieve constipation and has not been exercising regularly. Given Sadie's history of excessive weight gain in her previous pregnancy, it is important for her to manage her weight gain in the current pregnancy.

This is particularly important because she is already overweight with a pre-pregnancy weight of 180 lb and a current weight of 195 lb. To limit weight gain, Sadie should focus on adopting a balanced and nutritious diet while avoiding excessive calorie intake.

Sadie's preference for starchy foods such as bread, potato chips, and pasta to alleviate morning sickness may contribute to weight gain. It is important for her to be mindful of portion sizes and consider incorporating healthier options within the starchy food group, such as whole grains and vegetables, to provide necessary nutrients while managing weight.

To address constipation, Sadie can make dietary modifications such as increasing her fiber intake through fruits, vegetables, and whole grains.

Staying hydrated by drinking plenty of water is also essential. Additionally, engaging in regular exercise, such as swimming, with her healthcare provider's approval can help improve bowel movements and overall gastrointestinal function.

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