A woman with a multiple-fetus pregnancy asks, What are the ...

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A woman with a multiple-fetus pregnancy asks, What are the chances of having an uncomplicated pregnancy? The nurse's best response is that:
 
  1. The perinatal mortality rate for monoamniotic siblings is 50.
  2. Twins are less likely to have complications than are singleton births.
  3. Primiparous women pregnant with twins are less likely to develop complications.
  4. Spontaneous abortion is more common with twins.

Question 2

A client presents to the antepartum clinic with a history of a 20-pound weight loss. Her pregnancy test is positive. She is concerned about gaining the weight back, and asks the nurse if she can remain on her diet.
 
  What is the nurse's best response? 1. As long as you supplement your diet with the prenatal vitamin, the amount of weight you gain in pregnancy is not significant.
  2. I understand that gaining weight after such an accomplishment might not look attractive, but weight gain during pregnancy is important for proper fetal growth.
  3. Dieting during pregnancy is considered child neglect.
  4. Excessive weight gain in pregnancy is due to water retention, so weight loss following birth will not be an issue.

[wuly]

Answer to Question 1

4
Rationale 1: The perinatal mortality rate for monoamniotic siblings is 10 to 32.
Rationale 2: Twins are more likely to have complications than are singleton births.
Rationale 3: Primiparous women with twin pregnancies are more likely to develop complications.
Rationale 4: Because of the increased weight and size of the uterus, spontaneous abortion is more common.

Answer to Question 2

2
Explanation: 2. Maternal weight gain is an important factor in fetal growth and in infant birth weight. An adequate weight gain over time indicates an adequate caloric intake.

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