A pregnant woman with a body mass index (BMI) of 22 asks the ...

[lindiwe]

A pregnant woman with a body mass index (BMI) of 22 asks the nurse how she should be gaining weight during pregnancy. The nurse's best response would be to tell the woman that she should gain approximately:
 
  a. 1 lb per week throughout the pregnancy.
  b. 3.5 lb during the first trimester, then 1 lb each week until the end of the pregnancy.
  c. 1 lb a week during the first two trimesters, then 2 lb per week during the third trimester.
  d. a total of 25 to 35 lb.

Question 2

During a health maintenance visit, a 15-year-old girl mentions that she is not happy with how overweight she is. Which of the following approaches is best for the nurse to take?
 
  A) Good observation. Let's talk about diet and exercise.
  B) Don't worry; you are within the weight and height guidelines.
  C) What specifically have you been noticing?
  D) Tell me about your parents. Are they overweight?

[efwsefaw]

Answer to Question 1

B
A BMI of 22 represents a normal weight. Therefore a total weight gain for pregnancy would be about 25 to 35 lb or about 3.5 lb in the first trimester and about 1 lb per week during the second and third trimesters. Although d is accurate, b gives the woman the guidance she is requesting.

Answer to Question 2

C