A nurse is reinforcing teaching with a client who has a pre-pregnancy BMI of 21. How much weight should the nurse recommend the client gain during the course of the pregnancy?

16.4 to 20.5 kg (36 to 45 lb)

5 to 7.7 kg (11 to 17 lb)

11.4 to 15.9 kg (25 to 35 lb)

8.2 to 10.9 kg (18 to 24 lb)

Answer and Explanation

The Correct Answer is C

A. A weight gain of 16.4 to 20.5 kg (36 to 45 lb) is excessive for a client with a pre-pregnancy BMI of 21, which falls within the normal range. Such weight gain is more appropriate for an underweight client.

B. A weight gain of 5 to 7.7 kg (11 to 17 lb) is inadequate for a client with a normal pre-pregnancy BMI. This range is suitable for an overweight or obese client.

C. A pre-pregnancy BMI of 21 falls within the normal range (18.5–24.9), and the recommended weight gain for clients in this category is 11.4 to 15.9 kg (25 to 35 lb). This range supports healthy fetal growth and reduces the risk of complications.

D. A weight gain of 8.2 to 10.9 kg (18 to 24 lb) is slightly below the recommended range for a client with a normal BMI and may not adequately support fetal development. This range is more appropriate for overweight individuals.

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Correct Answer is A

Explanation

A. 2+ ketonuria indicates an elevated level of ketones in the urine, which can be a sign of inadequate nutrition or metabolism. This should be reported to the provider for further evaluation.
B. A urine specific gravity of 1.030 is within normal range during pregnancy.
C. A hematocrit (Hct) of 38% is within the normal range for a pregnant individual.
D. A fasting blood glucose level of 70 mg/dL is within the normal range.

A. "Use a plastic cover to protect the crib mattress.” B. "Place bumper pads securely between the mattress and the rails of the crib." C. "Place your newborn on a foam-wedge cushion during naps." D. "Ensure that the mattress fits securely against the sides of the crib."

Correct Answer is D

Explanation

A: Using a plastic cover on the crib mattress can lead to overheating and discomfort for the baby. It is not recommended.
B: Bumper pads pose a suffocation and entrapment risk for infants. They should not be used in the crib.
C: Placing a newborn on a foam-wedge cushion can increase the risk of suffocation. Infants should be placed on their backs on a firm mattress without any extra padding.
D: Ensuring that the mattress fits snugly against the sides of the crib prevents any gaps where the baby could become trapped. This is an important safety measure.

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A nurse is reinforcing teaching with a client who has a pre-pregnancy BMI of 21. How much weight should the nurse recommend the client gain during the course of the pregnancy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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