A 22-year-old woman pregnant with a single fetus has a preconception body mass
index (BMI) of 24. When she was seen in the clinic at 14 weeks of
... [Show More] gestation, she had
gained 1.8 kg (4 lbs) since conception. How would the nurse interpret this?
a. This weight gain indicates possible gestational hypertension.
b. This weight gain indicates that the woman's infant is at risk for intrauterine growth
restriction (IUGR).
c. This weight gain cannot be evaluated until the woman has been observed for several
more weeks.
d. The woman's weight gain is appropriate for this stage of pregnancy. - CORRECT
ANSWERS ANS: D
The statement ―The woman's weight gain is appropriate for this stage of pregnancy‖ is
accurate. This woman's BMI is within the normal range. During the first trimester, the
average total weight gain is only 1 to 2 kg. Although weight gain does indicate possible
gestational hypertension, it does not apply to this patient. The desirable weight gain
during pregnancy varies among women. The primary factor to consider in making a
weight gain recommendation is the appropriateness of the prepregnancy weight for the
woman's height. A commonly used method of evaluating the appropriateness of weight
for height is the BMI. Although weight gain does indicate risk for IUGR, this does not
apply to this patient. Weight gain should occur at a steady rate throughout the
pregnancy. The optimal rate of weight gain also depends on the stage of the pregnancy.
A 27-year-old pregnant woman had a preconceptual body mass index (BMI) of 18.0.
The nurse knows that this woman's total recommended weight gain during pregnancy
should be at least
a. 20 kg (44 lbs).
b. 16 kg (35 lbs).
c. 12.5 kg (27.5 lbs).
d. 10 kg (22 lbs). - CORRECT ANSWERS ANS: C
This woman has a normal BMI and should gain 11.5 to 16 kg during pregnancy. A
weight gain of 20 kg would be unhealthy for most women. A weight gain 35 lbs is the
high end of the range of weight this woman should gain in her pregnancy. A weight gain
of 22 lbs would be appropriate for an obese woman.
A newly pregnant patient visits her provider's office for the first prenatal appointment. To
estimate accurate weight gain throughout the pregnancy, the nurse will be evaluating
the appropriateness of weight for height using the body mass index (BMI). The patient
weighs 51 kg and is 1.57 m tall. The BMI is . - CORRECT ANSWERS ANS: 20.7
BMI = weight divided by height squared. BMI = 51 kg/(1.57 m)2 , or 20.7. Prepregnant
BMI can be classified into the following categories: <18.5, underweight or low; 18.5 to
24.9, normal; 25 to 29.9 overweight or high; and >30, obese
A pregnant patient would like to know a good food source of calcium other than dair [Show Less]