According to ICMR-NIN, 2020, the additional protein requirement in the second trimester of pregnancy is-

Raj. CHO - 2023

Applied Nutrition & Dietetics

Easy

Appeared in: Raj. CHO - 2023

Explanation

According to the latest ICMR-NIN 2020 guidelines, the recommended additional protein intake for a pregnant woman in her second trimester is 9.5 g/day.
This requirement is scientifically calculated to support the growth of the fetus, development of the placenta, and the expansion of maternal tissues like the uterus and blood volume.
This value is a specific update from older guidelines, which used a less differentiated recommendation for the entire pregnancy period.
Meeting this requirement is crucial for preventing low birth weight and ensuring a healthy pregnancy outcome.

Option B: This value is incorrect. The ICMR-NIN 2020 guidelines specify 9.5 g/day for the second trimester and 13.2 g/day for lactation (7-12 months), but not 11.5 g/day.
Option C: This value is incorrect. It does not match the specific, evidence-based recommendations provided in the ICMR-NIN 2020 report.
Option D: This value is incorrect. While close to the correct answer, precision is key when applying nutritional guidelines.

Visual 1: Infographic: A chart showing the additional protein, energy, and key micronutrient requirements during each trimester of pregnancy and lactation as per ICMR-NIN 2020.
Visual 2: Table: A comparative table showing the differences in nutritional recommendations between the ICMR 2010 and ICMR 2020 guidelines for pregnant women.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain ICMR-NIN 2020 guidelines for additional protein requirements during pregnancy as background academic context rather than a clinical decision trigger.
Nurses use these specific guidelines for providing accurate nutritional counseling to pregnant women, which is a vital part of antenatal care to ensure adequate maternal and fetal health.
Translating this number into practical food advice (e.g., 'add an extra glass of milk and a handful of dal to your daily diet') helps patients adhere to the recommendations.
What if? If the patient were in her third trimester, the nurse's advice would change significantly. The recommendation more than doubles to +22.0 g/day to support peak fetal growth, requiring a much larger increase in protein-rich foods.

How to Approach the Question

First, identify the key components of the question: the specific guideline ('ICMR-NIN, 2020'), the nutrient ('additional protein'), and the physiological stage ('second trimester of pregnancy').
Recognize that this is a factual recall question that tests your knowledge of the latest national nutritional guidelines.
Mentally recall the trimester-specific recommendations for protein. The 2020 guidelines have different values for the 1st, 2nd, and 3rd trimesters.
Compare the recalled value for the second trimester (9.5 g/day) with the options provided.
Select the option that exactly matches the correct value.

Concept Tested & Keywords

Concept Tested: ICMR-NIN 2020 guidelines for additional protein requirements during pregnancy.
Stem keywords: ICMR-NIN, 2020, additional protein requirement, second trimester, pregnancy
Lead-in keywords: BEST, MOST RELEVANT CLUE
Negative lead-in flag: false

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