A 16-year-old client at 18 weeks gestation with a normal BMI expresses concern about weight gain during pregnancy. The client wants to know how to avoid gaining too much weight. What is an appropriate response from the nurse?
A high-protein, low-carbohydrate diet may help keep your weight gain under control.
You are eating for two now, but breastfeeding can help you lose excess weight later.
Gaining 1 lb (0.5 kg) per week in this stage of pregnancy is important and expected.
You can exercise daily, so you don’t have to worry about weight gain.
The Correct Answer is C
Choice A rationale
High-protein, low-carbohydrate diets are not recommended during pregnancy as they can lead to ketone production, which may harm fetal development. A balanced diet is crucial for maternal and fetal health.
Choice B rationale
Although breastfeeding can help with postpartum weight loss, it is not advisable to use pregnancy as a reason to overeat. Healthy weight gain during pregnancy is essential for fetal development.
Choice C rationale
Gaining 1 lb (0.5 kg) per week is recommended during the second trimester for a client with a normal BMI to ensure proper fetal growth and development.
Choice D rationale
Exercise is beneficial, but it cannot prevent all weight gain during pregnancy. Appropriate weight gain is necessary for fetal health and development.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A,B,C,D
Explanation
The correct sequence of maternal changes from first to last is:
- Amenorrhea (A) – This is usually the first sign of pregnancy, occurring due to increased progesterone levels and the absence of a menstrual period.
- Goodell’s sign (B) – This refers to the softening of the cervix, which typically occurs around 6-8 weeks of pregnancy due to increased vascularization.
- Quickening (C) – This is the first perception of fetal movement by the mother, usually felt between 16-20 weeks of pregnancy.
- Lightening (D) – This occurs late in pregnancy (around 37-40 weeks) when the fetus descends into the pelvis in preparation for birth.
So, the correct order is:
A → B → C → D.
Correct Answer is C
Explanation
Choice A rationale
Dysuria, while concerning, is typically less urgent compared to the complete absence of fetal movement, which can indicate fetal distress or demise.
Choice B rationale
Nausea is a common symptom during pregnancy and generally less urgent compared to the absence of fetal movement, which may indicate a serious issue.
Choice C rationale
No fetal movement is a critical concern as it may indicate fetal demise or severe distress requiring immediate assessment and intervention to ensure fetal well-being.
Choice D rationale
A cough in pregnancy can be bothersome but is generally not as urgent compared to the absence of fetal movement, which can indicate potential fetal demise.
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