A nurse is developing information to give to a group of pregnant ...

[oliviahorn72]

A nurse is developing information to give to a group of pregnant women who are interested in nutritional management of their pregnancy with regard to expected weight gain.
 
  The nurse bases the amount of weight gain for pregnant women on calculation of their:
 
  a. EDC (expected date of confinement).
  b. prepregnancy weight.
  c. BMI (body mass index).
  d. basal energy expenditure (BEE).

Question 2

A client post-delivery is concerned about getting back to her prepregnancy weight. She had only gained 15 pounds during her pregnancy. Which assessment factor would be of concern at her 6-week postpartum checkup?
 
  a. Client has lost 35 pounds during the 6-week period prior to her scheduled checkup.
  b. Client states that she is eating healthy and limiting intake of processed foods.
  c. Client relates increased consumption of fruits and vegetables in her diet postbirth.
  d. Client has resumed her usual exercise pattern of walking around the neighborhood for 10 minutes each night.

[karlss]

Answer to Question 1

ANS: C
BMI takes into account height, weight, and body frame characteristics. Weight gain is not based on the EDC. Although the prepregnancy weight is important, it must be looked at in correlation to a calculated BMI. The calculation of BEE is used for clients who are at nutritional risk and are receiving enteral and/or parenteral nutrition therapies.

Answer to Question 2

ANS: A
Although a certain amount of weight loss is expected in the postpartum period, the fact that the reported weight loss is double the amount of weight gained during the pregnancy places the client at risk for malnutrition. Further inquiry is needed. Limiting the intake of processed foods is a healthy dietary alternative to decreasing sodium intake. Increases in fruits and vegetables are a healthy dietary alternative to decrease possible occurrence of hypertension. An exercise program is part of a healthy nutrition approach.

[oliviahorn72]

TYSM

[alvinum]

Excellent