Review Weight Gain Guidelines in pregnancy

Physiological And Physical Changes In Pregnancy > Maternal & Newborn

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Weight Gain Guidelines in pregnancy

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Total Questions : 5

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Question 1:

A nurse is providing education to a pregnant client about weight gain guidelines during pregnancy.

What is the recommended weight gain range for normal-weight women?

A. 25-35 pounds B. 15-25 pounds C. 28-40 pounds D. 10-20 pounds

Answer and Explanation

Choice A:

This is the recommended weight gain range for normal-weight women with a BMI of 18.5-24.9 before pregnancy. Gaining the recommended amount of weight during pregnancy is important for the health of the baby and the mother.

Choice B:

15-25 pounds is the recommended weight gain range for overweight women with a BMI of 25.0-29.9 before pregnancy.

Choice C:

28-40 pounds is the recommended weight gain range for underweight women with a BMI of less than 18.5 before pregnancy.

Choice D:

10-20 pounds is the recommended weight gain range for obese women with a BMI of greater than or equal to 30.0 before pregnancy.

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Question 2:

A nurse is assessing a pregnant client's understanding of trimester-specific weight gain.

Which statement by the client indicates a need for further education?

A. "During the first trimester, weight gain should not exceed 1-2 kilograms.". B. "After the first trimester, a weight gain of 1 pound per week is recommended for the remaining two trimesters.". C. "During the second trimester, an extra 340 calories per day are needed.". D. "During the third trimester, an additional 450 calories per day are required.".

Answer and Explanation

Choice A:

This statement by the client indicates a need for further education because it is incorrect. The recommended weight gain during the first trimester is 1-2 kilograms per month, not in total. The other choices are correct and do not require further education.

Choice B:

Choice B states that after the first trimester, a weight gain of 1 pound per week is recommended for the remaining two trimesters, which is accurate.

Choice C:

Choice C states that during the second trimester, an extra 340 calories per day are needed, which is also true.

Choice D:

Choice D states that during the third trimester, an additional 450 calories per day are required, which is correct as well.

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Question 3:

A nurse is discussing the importance of folic acid with a pregnant client.

What is the primary reason for recommending folic acid intake during pregnancy?

A. To promote fetal brain development. B. To prevent neural tube defects in the fetus. C. To support healthy placental function. D. To prevent maternal anemia.

Answer and Explanation

Choice A:

Folic acid does not directly promote fetal brain development, although it is involved in the formation of the neural tube, which later develops into the brain.

Choice B:

Folic acid is a synthetic form of folate, a B vitamin that plays a role in the development of the neural tube, which becomes the brain and spinal cord of the fetus. Neural tube defects are serious birth abnormalities that can cause disability or death. Folic acid supplementation before and during pregnancy can significantly reduce the risk of neural tube defects.

Choice C:

folic acid does not support healthy placental function. The placenta is an organ that connects the mother and the fetus, and it does not depend on folic acid for its function.

Choice D:

Folic acid does not prevent maternal anemia. Anemia is a condition in which the blood does not have enough red blood cells to carry oxygen

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Question 4:

A nurse is discussing weight gain guidelines with a pregnant client who is overweight.

What is the recommended weight gain range for overweight women during pregnancy?

A. 25-35 pounds. B. 15-25 pounds. C. 28-40 pounds. D. 10-20 pounds.

Answer and Explanation

Choice A:

25-35 pounds is the recommended weight gain range for normal weight women during pregnancy, who have a BMI of 18.5-24.9 before pregnancy.

Choice B:

This is the recommended weight gain range for overweight women during pregnancy according to the CDC1 and ACOG. Overweight women have a BMI of 25.0-29.9 before pregnancy.

Choice C:

28-40 pounds is the recommended weight gain range for underweight women during pregnancy, who have a BMI of less than 18.5 before pregnancy.

Choice D:

10-20 pounds is too low for any category of women during pregnancy, and may result in delivering a baby who is too small.

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Question 5:

A nurse is assessing a pregnant client's understanding of calorie intake during pregnancy.

What is the recommended additional calorie intake per day during the third trimester?

A. 340 calories. B. 450 calories. C. 250 calories. D. 550 calories.

Answer and Explanation

Choice A:

340 calories is the recommended additional intake for the second trimester.

Choice B:

According to the Academy of Nutrition and Dietetics, pregnant women need about an extra 450 calories per day during the third trimester. This is to support the growth and development of the baby and the mother’s increased energy needs.

Choice C:

250 calories is too low for the third trimester and may not provide enough nutrients for the baby.

Choice D:

550 calories is too high for the third trimester and may lead to excessive weight gain or gestational diabetes.

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Weight Gain Guidelines in pregnancy

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