A nurse is attending to a client during her first prenatal visit.
The client, who has a BMI of 26.5, is curious about the amount of weight she should gain during her pregnancy.
What should the nurse’s response be?
“It would be best if you gained about 11 to 20 pounds.”.
“A gain of about a pound per week is the best pattern for you.”.
“The recommendation for you is about 15 to 25 pounds.”.
“A gain of about 25 to 35 pounds is recommended for you.”.
The Correct Answer is C
Choice A rationale
The recommended weight gain for a pregnant woman depends on her pre-pregnancy BMI. For a woman who is underweight (BMI < 18.5), the recommended weight gain is about 28-40 pounds. Therefore, this choice is not applicable for a woman with a BMI of 26.5.
Choice B rationale
While it’s true that weight gain should be gradual during pregnancy, a gain of about a pound per week is not a specific recommendation for a woman with a BMI of 26.54.
Choice C rationale
For a woman who is overweight before pregnancy (BMI 25.0-29.9), the recommended weight gain is about 15 to 25 pounds. Therefore, this choice is the most appropriate for a woman with a BMI of 26.5.
Choice D rationale
The recommendation of a weight gain of about 25 to 35 pounds is for women who had a normal weight (BMI 18.5-24.9) before pregnancy. Therefore, this choice is not applicable for a woman with a BMI of 26.5.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
While discussing feelings with a trusted family member can be beneficial, it is not the nurse’s place to suggest whom the client should confide in. It’s important to respect the client’s autonomy and privacy.
Choice B rationale
This response dismisses the client’s feelings and may make her feel unheard or misunderstood. It’s crucial to validate the client’s emotions and provide supportive care.
Choice C rationale
This is the correct answer. It’s common for women to experience a range of emotions, including ambivalence, during early pregnancy. Hormonal changes, the impact of pregnancy on identity and lifestyle, and anxiety about parenting can all contribute to these feelings.
Choice D rationale
While professional counseling can be beneficial, suggesting it as an immediate response may imply that the client’s feelings are abnormal or require therapy. It’s more appropriate to normalize the client’s experience, offer support, and provide referrals to mental health professionals if the client expresses an interest or if her distress continues or worsens.
Correct Answer is B
Explanation
Choice A rationale
Enlarged lymph nodes are not a typical finding related to breast changes in early pregnancy.
Choice B rationale
Darkened breast areolas are a common change in early pregnancy. This is due to hormonal changes that affect the skin’s pigmentation.
Choice C rationale
Deeply fissured nipples are not a typical change in early pregnancy. However, some women may experience nipple sensitivity or tenderness.
Choice D rationale
Slack soft breast tissue is not a typical change in early pregnancy. In fact, many women experience breast enlargement and firmness during this time.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.