A patient has a BMI 16 and weighs 96lbs and asks what the appropriate amount of weight she should gain with har pregnancy. Which of the following would be the best answer
3 lbs per week for each week of pregnancy
35-40 lbs throughout the entire pregnancy
15-20 lbs throughout the entire pregnancy
Less than a 1lb per week for each week of pregnancy.
The Correct Answer is C
A. 3 lbs per week is too high for someone with a BMI of 16 and could lead to excessive weight gain.
B. 35-40 lbs is too broad and may not be suitable for this patient's low BMI, which typically requires a more controlled approach.
C. For a patient with a BMI of 16 (underweight), the recommended weight gain during pregnancy is generally between 28-40 pounds, but given the patient's lower weight, 15-20 lbs is a realistic goal for weight gain, allowing for healthy fetal development.
D. Less than 1lb per week could be too slow, potentially leading to insufficient fetal growth.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Abruptio placenta and preeclampsia are risk factors for DIC, a serious complication that can lead to bleeding and clotting issues, including petechiae and oozing from IV sites.
B. A 4100 gm baby (large baby) is not a risk factor for DIC in the immediate postpartum period.
C. Having five children does not increase the risk for DIC.
D. Hyperemesis gravidarum is not related to the development of DIC.
Correct Answer is D
Explanation
A. Tubal damage from hyperglycemia: Hyperglycemia, often seen in diabetes, can affect reproductive health but is more commonly associated with issues like poor implantation or uterine environment rather than direct tubal damage.
B. Tubal damage from migraine headaches: Migraine headaches do not cause direct tubal damage or infertility. They may impact overall health and stress levels but are not linked to structural damage in the reproductive tract.
C. Tubal damage from fibromyalgia: Fibromyalgia is a chronic condition causing widespread pain and fatigue but does not directly cause tubal damage.
D. Tubal damage from PID: Pelvic inflammatory disease is a leading cause of infertility due to the inflammation and scarring it can cause in the fallopian tubes, which can block or damage them, preventing fertilization.
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