A 22-year-old woman pregnant with a single fetus has a preconception body mass index (BMI) of 19. When she was seen in the clinic at 33 weeks of gestation, she had gained 4 lbs in the first trimester. What should be the expected weight gain at this pregnancy time?
20
18
28
24
The Correct Answer is D
a. The expected total weight gain during pregnancy for a woman with a preconception BMI of 19 is 28-40 lbs.
b. The expected total weight gain during pregnancy for a woman with a preconception BMI of 19 is 28-40 lbs.
c. The expected total weight gain during pregnancy for a woman with a preconception BMI of 19 is 28-40 lbs.
d. The expected total weight gain during pregnancy for a woman with a preconception BMI of 19 is 28-40 lbs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
a. Spontaneous rupture of the membranes (SROM) may or may not occur during labor and is not a reliable sign.
b. Engagement of the presentation is the descent of the fetal head or breech into the pelvis and can occur before labor begins.
c. Irregular contractions can occur during false labor (Braxton Hicks contractions) and are not a reliable sign of true labor.
d. Cervical effacement is the thinning and shortening of the cervix that occurs during labor. It is a sign of true labor, along with cervical dilation and regular contractions.

Correct Answer is ["D"]
Explanation
a. This is a potential complication of diabetes during pregnancy but is not a primary reason for preconception counseling.
b. This is a potential complication of pregnancy but is not a primary reason for preconception counseling.
c. This is a potential complication of diabetes during pregnancy but is not a primary reason for preconception counseling.
d. Poor glycemic control before and during early pregnancy can increase the risk of birth defects in the fetus, making preconception counseling critical for women with diabetes.
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