@ogkranthi/agentshift 0.1.0

package/tests/fixtures/pregnancy-companion/knowledge/nutrition.md

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+# Pregnancy Nutrition Guide
+
+## Key Nutrients by Trimester
+
+### First Trimester (Focus: Foundation Building)
+
+| Nutrient | Daily Need | Why | Best Sources |
+|----------|-----------|-----|-------------|
+| Folate/Folic Acid | 600 mcg | Neural tube development, prevents birth defects | Leafy greens, lentils, fortified cereals, oranges |
+| Iron | 27 mg | Blood volume increasing 50% | Red meat, spinach, beans, fortified cereals |
+| Vitamin B6 | 1.9 mg | Helps with nausea, brain development | Chicken, fish, potatoes, bananas |
+| Vitamin D | 600 IU | Bone development, immune function | Sunlight, fortified milk, eggs, salmon |
+| DHA (Omega-3) | 200-300 mg | Brain and eye development | Salmon, sardines, walnuts, DHA supplement |
+
+### Second Trimester (Focus: Growth & Development)
+
+| Nutrient | Daily Need | Why | Best Sources |
+|----------|-----------|-----|-------------|
+| Calcium | 1000 mg | Baby's bones and teeth forming | Milk, yogurt, cheese, fortified OJ, tofu |
+| Protein | 75-100 g | Muscle and tissue growth | Eggs, lean meat, beans, Greek yogurt, nuts |
+| Iron | 27 mg | Continued blood production | Same as above + pair with vitamin C for absorption |
+| Magnesium | 350 mg | Reduces leg cramps, supports bones | Nuts, seeds, dark chocolate, avocado |
+| Choline | 450 mg | Brain development | Eggs (esp. yolks), meat, soybeans |
+
+### Third Trimester (Focus: Final Growth & Prep)
+
+| Nutrient | Daily Need | Why | Best Sources |
+|----------|-----------|-----|-------------|
+| Protein | 80-100 g | Baby gaining ~0.5 lb/week | Lean meats, fish, eggs, legumes |
+| Calcium | 1000 mg | Bone hardening | Dairy, leafy greens, fortified foods |
+| Vitamin K | 90 mcg | Blood clotting for delivery | Broccoli, kale, spinach |
+| Fiber | 28-30 g | Constipation relief | Whole grains, fruits, vegetables, chia seeds |
+| Iron | 27 mg | Preparing for blood loss at delivery | Red meat, lentils, fortified cereals |
+
+## Foods to AVOID During Pregnancy
+
+### Never Eat
+- **Raw/undercooked meat, fish, eggs** — risk of salmonella, toxoplasmosis
+- **High-mercury fish** — shark, swordfish, king mackerel, tilefish, bigeye tuna
+- **Raw sprouts** — (alfalfa, clover) high bacteria risk
+- **Unpasteurized** milk, cheese, juice — listeria risk
+- **Deli meats/hot dogs** — unless heated until steaming (listeria risk)
+- **Raw shellfish** — oysters, clams, mussels
+- **Alcohol** — no safe amount during pregnancy
+
+### Limit
+- **Caffeine** — max 200 mg/day (~one 12oz coffee)
+- **Canned tuna** — limit to 6 oz/week (light tuna better than albacore)
+- **Artificial sweeteners** — moderate use only; avoid saccharin
+- **Herbal teas** — most are fine, but avoid large amounts of chamomile, licorice root
+
+### Safe Fish (Low Mercury, High Omega-3)
+Eat 2-3 servings/week: salmon, sardines, anchovies, herring, trout, tilapia, shrimp, pollock
+
+## Meal Ideas by Trimester
+
+### First Trimester (When Nausea Is Real)
+**Easy on the stomach:**
+- Plain crackers or toast before getting out of bed
+- Ginger tea with honey
+- Banana smoothie with yogurt
+- Plain rice with mild chicken broth
+- Apple slices with peanut butter
+- Cold foods (sandwiches, salads) if hot food smells trigger nausea
+
+**When appetite allows:**
+- Scrambled eggs on whole wheat toast
+- Oatmeal with berries and walnuts
+- Lentil soup
+- Grilled chicken with sweet potato
+
+### Second Trimester (Appetite Returns!)
+- Greek yogurt parfait with granola and berries (calcium + protein)
+- Salmon with quinoa and roasted vegetables (DHA + protein + iron)
+- Spinach and cheese omelet (folate + calcium + protein)
+- Bean and cheese burrito with avocado (protein + fiber + magnesium)
+- Trail mix: almonds, walnuts, dried fruit, dark chocolate (snacking)
+
+### Third Trimester (Smaller, More Frequent Meals)
+- Mini meals every 2-3 hours (less room in stomach)
+- Protein-rich snacks: hard-boiled eggs, cheese sticks, nut butter
+- Iron-rich dinners: lean steak with broccoli, lentil curry
+- Hydrating foods: watermelon, cucumber, soups
+- Date fruit (6/day from week 36 may help with labor — research-backed)
+
+## Hydration
+
+- **Goal**: 8-12 cups (64-96 oz) of water daily
+- **Signs of dehydration**: dark urine, headache, dizziness, dry mouth
+- **Tips**: Carry a water bottle, set reminders, infuse with lemon/cucumber if plain water is unappealing
+- **Counts as fluid**: water, milk, herbal tea, broths, water-rich fruits
+- **Doesn't count well**: caffeinated drinks (mild diuretic effect)
+
+## Weight Gain Guidelines (General)
+
+| Pre-pregnancy BMI | Recommended Total Gain |
+|-------------------|----------------------|
+| Underweight (<18.5) | 28-40 lbs |
+| Normal (18.5-24.9) | 25-35 lbs |
+| Overweight (25-29.9) | 15-25 lbs |
+| Obese (30+) | 11-20 lbs |
+
+- First trimester: 1-5 lbs total
+- Second & third: about 1 lb per week
+- These are guidelines, not rules — every body is different. Doctor will monitor.
+
+## Handling Cravings
+
+- Cravings are normal and often harmless — enjoy in moderation
+- Craving ice, dirt, or non-food items (pica)? Tell your doctor — may indicate iron deficiency
+- If craving sweets: try fruit, yogurt with honey, dark chocolate
+- If craving salty: try nuts, popcorn, pickles (classic!)

package/tests/fixtures/pregnancy-companion/knowledge/warning-signs.md

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+# Warning Signs During Pregnancy
+
+## EMERGENCY — Go to ER or Call 911 Immediately
+
+These require immediate medical attention:
+
+- **Heavy vaginal bleeding** (soaking a pad in an hour) with or without pain
+- **Severe abdominal pain** that doesn't go away
+- **Seizures or convulsions**
+- **Chest pain or difficulty breathing**
+- **Thoughts of harming yourself or others** — call 988 (Suicide & Crisis Lifeline) or go to ER
+- **Umbilical cord visible or felt in vagina** (cord prolapse — get on hands and knees, call 911)
+
+## URGENT — Call Your Doctor Right Away (Same Day)
+
+- **Vaginal bleeding** — any amount, any trimester
+- **Severe headache** that won't go away, especially with vision changes
+- **Vision changes** — blurring, seeing spots, flashing lights
+- **Sudden swelling** of face, hands, or feet (could indicate preeclampsia)
+- **Fever over 100.4°F (38°C)**
+- **Painful urination** with fever or back pain (kidney infection risk)
+- **Regular contractions before 37 weeks** (preterm labor)
+- **Fluid gushing or leaking from vagina** (could be amniotic fluid)
+- **Baby not moving** — fewer than 10 movements in 2 hours (after 28 weeks)
+- **Severe vomiting** — can't keep any food or water down for 24 hours
+- **Severe itching** all over body, especially palms and soles (could indicate cholestasis)
+- **Fall, car accident, or abdominal trauma**
+
+## MONITOR — Mention at Next Appointment
+
+These are worth tracking and discussing with your doctor:
+
+- Persistent headaches
+- Swelling that comes and goes in ankles/feet
+- Heartburn that doesn't respond to remedies
+- Consistent trouble sleeping
+- Mood changes that feel overwhelming
+- Frequent Braxton Hicks (more than 4 per hour before 37 weeks = call doctor)
+- Unusual discharge (green, yellow, foul-smelling)
+- Persistent back pain
+- Painful varicose veins
+
+## What's NORMAL (Usually Not a Concern)
+
+- Light cramping (similar to period cramps) in first trimester
+- Spotting after sex or internal exam
+- Round ligament pain (sharp side pain when moving quickly)
+- Braxton Hicks contractions (irregular, painless tightening)
+- Increased vaginal discharge (clear/white, no odor)
+- Nosebleeds and bleeding gums
+- Mild swelling in ankles at end of day
+- "Lightning crotch" (sharp pelvic nerve pain in third trimester)
+- Nesting urge (sudden desire to clean everything)
+- Losing mucus plug (can happen weeks before labor)
+
+## Preeclampsia Awareness
+
+Preeclampsia can develop after week 20. Know the signs:
+- High blood pressure (measured at appointments)
+- Protein in urine (tested at appointments)
+- Severe headache
+- Vision changes (blurry, spots, sensitivity to light)
+- Upper abdominal pain (under ribs, right side)
+- Sudden weight gain (more than 4 lbs in a week)
+- Severe swelling of face and hands
+- Nausea/vomiting in second half of pregnancy
+
+**If you notice 2+ of these symptoms together, call your doctor immediately.**
+
+## Kick Counting Guide (Start at 28 Weeks)
+
+**How to count kicks:**
+1. Pick a time when baby is usually active (often after meals or in evening)
+2. Sit or lie on your side comfortably
+3. Count any movement — kicks, rolls, jabs, flutters
+4. You should feel at least 10 movements in 2 hours
+5. If fewer than 10 in 2 hours: drink cold water, eat something, try again
+6. If still fewer than 10: call your doctor
+
+**Note**: Every baby has their own pattern. Learn what's normal for YOUR baby and report changes.

package/tests/fixtures/pregnancy-companion/knowledge/week-by-week.md

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+# Pregnancy Week-by-Week Guide
+
+## First Trimester (Weeks 1-12)
+
+### Week 4
+- **Baby**: Tiny ball of cells (blastocyst) implanting in uterus. Size: poppy seed
+- **Symptoms**: Missed period, light spotting (implantation bleeding), mild cramping, breast tenderness
+- **Normal**: Light spotting is common and usually harmless
+- **Tip**: Start prenatal vitamins if you haven't already (folate is critical now)
+
+### Week 5
+- **Baby**: Heart begins to form and beat. Neural tube developing. Size: sesame seed
+- **Symptoms**: Fatigue, nausea may begin, frequent urination, mood swings
+- **Normal**: Extreme tiredness — your body is building a placenta
+- **Tip**: Rest when you can. Small frequent meals help with nausea
+
+### Week 6
+- **Baby**: Tiny buds for arms and legs appear. Heart beating ~110 bpm. Size: lentil
+- **Symptoms**: Morning sickness (can happen any time of day), food aversions, bloating
+- **Normal**: Nausea peaks between weeks 6-9 for most women
+- **Tip**: Ginger tea, crackers before getting up, eat before you feel hungry
+
+### Week 7
+- **Baby**: Brain growing rapidly. Facial features forming. Hands and feet like paddles. Size: blueberry
+- **Symptoms**: Continued nausea, acne, excess saliva, vivid dreams
+- **Normal**: Your uterus has doubled in size already
+- **Tip**: Stay hydrated — sip water throughout the day
+
+### Week 8
+- **Baby**: Fingers and toes forming. Baby moving (too small to feel). Size: raspberry
+- **Symptoms**: Heightened sense of smell, constipation, mild cramping as uterus expands
+- **Normal**: Some cramping is normal as your uterus grows
+- **Tip**: First prenatal visit usually happens around now — exciting!
+
+### Week 9
+- **Baby**: All essential organs have begun forming. Looks more human. Size: grape
+- **Symptoms**: Mood swings, continued nausea, growing breasts
+- **Normal**: Emotional rollercoaster is hormonal and completely expected
+- **Tip**: Fiber-rich foods and water help with constipation
+
+### Week 10
+- **Baby**: Officially a "fetus" now! Bones starting to form. Size: kumquat
+- **Symptoms**: Visible veins, round ligament pain, growing belly
+- **Normal**: Veins more visible as blood volume increases by 50%
+- **Tip**: Good time to start thinking about maternity clothes for comfort
+
+### Week 11
+- **Baby**: Tooth buds forming. Fingers and toes separating. Size: fig
+- **Symptoms**: Nausea may start easing, increased appetite returning
+- **Normal**: Some bloating may make you look more pregnant than you are
+- **Tip**: Eat when hungry — your body knows what it needs
+
+### Week 12
+- **Baby**: Reflexes developing. Can open and close fingers. Size: lime
+- **Symptoms**: Nausea often starts improving, energy may return slightly
+- **Normal**: End of highest-risk period — many parents share the news now
+- **Tip**: NT scan (nuchal translucency) often done around weeks 11-13
+
+## Second Trimester (Weeks 13-26)
+
+### Week 13
+- **Baby**: Fingerprints forming. Vocal cords developing. Size: peapod
+- **Symptoms**: Energy returning! Nausea fading. May feel hungry more often
+- **Normal**: Welcome to the "honeymoon trimester" — many feel much better
+- **Tip**: Great time to start gentle exercise if you haven't
+
+### Week 14
+- **Baby**: Can make facial expressions. Body growing faster than head. Size: lemon
+- **Symptoms**: Less nausea, round ligament pain, stuffy nose (pregnancy rhinitis)
+- **Normal**: Stuffy nose is from increased blood flow — totally normal
+- **Tip**: Saline spray helps with congestion
+
+### Week 15
+- **Baby**: Can sense light through eyelids. Legs now longer than arms. Size: apple
+- **Symptoms**: Increased energy, possible nosebleeds, skin changes (glow!)
+- **Normal**: Bleeding gums and nosebleeds are common due to increased blood volume
+- **Tip**: Use a soft toothbrush and keep up dental hygiene
+
+### Week 16
+- **Baby**: Muscles strengthening. Patterned breathing movements. Size: avocado
+- **Symptoms**: Baby bump becoming visible, backache may start
+- **Normal**: Each body shows differently — no "right" size at any week
+- **Tip**: Start sleeping on your side (left side preferred for blood flow)
+
+### Week 17
+- **Baby**: Fat stores beginning. Sweat glands developing. Size: turnip
+- **Symptoms**: Increased appetite, possible heartburn, vivid dreams
+- **Normal**: Appetite increase is healthy — eating for baby's growth
+- **Tip**: Small frequent meals help with heartburn
+
+### Week 18
+- **Baby**: Ears in final position. Can hear sounds! Size: bell pepper
+- **Symptoms**: Dizziness (blood pressure changes), growing belly
+- **Normal**: Stand up slowly to avoid lightheadedness
+- **Tip**: Talk or sing to baby — they can hear you now!
+
+### Week 19
+- **Baby**: Vernix (protective coating) forming. Sensory development. Size: mango
+- **Symptoms**: Possible first flutters (quickening), hip pain
+- **Normal**: First-time moms often feel movement between 18-25 weeks
+- **Tip**: Anatomy scan usually scheduled around weeks 18-22
+
+### Week 20
+- **Baby**: Halfway there! Can swallow. Sleep-wake cycles forming. Size: banana
+- **Symptoms**: Definite baby bump, linea nigra may appear, swelling in feet
+- **Normal**: Dark line on belly (linea nigra) fades after birth
+- **Tip**: Elevate feet when resting to reduce swelling
+
+### Week 21
+- **Baby**: Eyebrows and eyelids fully formed. Active mover! Size: carrot
+- **Symptoms**: Braxton Hicks may start (practice contractions), backache
+- **Normal**: Braxton Hicks feel like tightening — irregular and painless
+- **Tip**: Stay active — walking helps with many discomforts
+
+### Week 22
+- **Baby**: Looks like a miniature newborn. Grip is strong. Size: papaya
+- **Symptoms**: Stretch marks may appear, increased vaginal discharge
+- **Normal**: Clear/white discharge is normal; call doctor if colored/smelly
+- **Tip**: Moisturize belly, hips, and breasts (may not prevent but feels good)
+
+### Week 23
+- **Baby**: Hearing more refined. Can recognize your voice. Size: grapefruit
+- **Symptoms**: Swollen ankles, Braxton Hicks, trouble sleeping
+- **Normal**: Pregnancy pillow can be a lifesaver for sleep
+- **Tip**: Glucose screening test usually done around weeks 24-28
+
+### Week 24
+- **Baby**: Lungs developing surfactant. Viable outside womb with NICU care. Size: corn on the cob
+- **Symptoms**: Itchy skin (stretching), leg cramps, carpal tunnel symptoms
+- **Normal**: Leg cramps at night are common — stretch calves before bed
+- **Tip**: Stay hydrated and consider magnesium-rich foods
+
+### Week 25
+- **Baby**: Responding to touch. Hair growing. Size: cauliflower
+- **Symptoms**: Heartburn, hemorrhoids, snoring (yes, really)
+- **Normal**: Snoring from nasal swelling is surprisingly common
+- **Tip**: Prop head up slightly when sleeping to help with heartburn
+
+### Week 26
+- **Baby**: Eyes opening! Can see light and dark. Lungs maturing. Size: lettuce head
+- **Symptoms**: Trouble sleeping, frequent bathroom trips return, Braxton Hicks
+- **Normal**: Baby pushing on bladder = more bathroom trips
+- **Tip**: Start thinking about birth plan preferences
+
+## Third Trimester (Weeks 27-40)
+
+### Week 27
+- **Baby**: Regular sleep-wake cycle. Brain very active. Size: cauliflower
+- **Symptoms**: Leg cramps, shortness of breath, swelling
+- **Normal**: Feeling out of breath is baby pushing up on diaphragm
+- **Tip**: Third trimester! Home stretch begins
+
+### Week 28
+- **Baby**: Can blink. Dreaming (REM sleep detected). Size: eggplant
+- **Symptoms**: Trouble sleeping, frequent urination, back pain
+- **Normal**: Rh-negative moms get RhoGAM injection around now
+- **Tip**: Start counting kicks — 10 movements in 2 hours is good
+
+### Week 29-30
+- **Baby**: Brain growing rapidly. Gaining about half a pound per week. Size: butternut squash
+- **Symptoms**: Heartburn, swelling, fatigue returning, mood changes
+- **Normal**: Fatigue returning is normal — you're carrying a lot!
+- **Tip**: Pack hospital bag, tour the birth center/hospital
+
+### Week 31-32
+- **Baby**: All five senses working. Toenails growing. May turn head-down. Size: coconut
+- **Symptoms**: Braxton Hicks more frequent, pelvic pressure, insomnia
+- **Normal**: More frequent Braxton Hicks is normal — irregular is key
+- **Tip**: Prenatal visits every 2 weeks now
+
+### Week 33-34
+- **Baby**: Bones hardening (except skull). Immune system developing. Size: pineapple
+- **Symptoms**: Difficulty breathing, pelvic pain, fatigue
+- **Normal**: Baby may "drop" (engage in pelvis) — breathing gets easier
+- **Tip**: Install car seat, finalize birth plan
+
+### Week 35-36
+- **Baby**: Less room to move but still active. Gaining ~1 oz per day. Size: honeydew melon
+- **Symptoms**: Frequent urination, pelvic pressure, nesting instinct
+- **Normal**: Nesting (sudden urge to clean/organize) is very real!
+- **Tip**: Group B strep test usually done at week 36. Weekly visits start.
+
+### Week 37-38
+- **Baby**: Considered "early term." Lungs nearly mature. Size: winter melon
+- **Symptoms**: Lightning crotch (sharp pelvic pains), mucus plug may release
+- **Normal**: Losing mucus plug can happen weeks before labor
+- **Tip**: Know the signs of labor: regular contractions, water breaking, bloody show
+
+### Week 39-40
+- **Baby**: Full term! Ready to meet the world. Average: 7-8 lbs, 19-21 inches
+- **Symptoms**: Contractions (real vs. Braxton Hicks), extreme fatigue, excitement/anxiety
+- **Normal**: Due date is an estimate — only 5% of babies arrive on their due date
+- **Tip**: Rest, stay hydrated, time contractions (5-1-1 rule: 5 min apart, 1 min long, for 1 hour)
+
+### Week 41+
+- **Baby**: Still growing. Doctor will monitor closely
+- **Normal**: Going past due date is common, especially for first pregnancies
+- **Tip**: Doctor will discuss induction options. Non-stress tests may be done.