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 A
Explanation
Choice A rationale
Quickening refers to the first movements of the fetus felt by the pregnant individual, often described as a fluttering sensation. This typically occurs between 16 to 25 weeks of pregnancy.
Choice B rationale
Chloasma, also known as the “mask of pregnancy,” is a skin condition that causes dark, discolored patches on the face. It is not related to fetal movements.
Choice C rationale
Lightening refers to the baby moving down into the pelvis as the body prepares for labor. It does not refer to the initial movements of the fetus.
Choice D rationale
Ballottement is a medical sign which can be used to detect an unengaged fetus by a sharp upward pushing against the uterine wall with a finger and feeling for return impact of the displaced fetus. It does not refer to the initial movements of the fetus.
Correct Answer is B
Explanation
Choice A rationale
Age alone is not a contraindication for the use of ovulation suppressants. Many women safely and effectively use these methods of contraception into their 30s and beyond.
Choice B rationale
This is the correct answer. A family history of thromboembolism can increase the risk of developing blood clots, a potential side effect of hormonal contraceptives like birth control pills.
Choice C rationale
Irregular menstrual cycles can sometimes be regulated by the use of hormonal contraceptives, so this would not necessarily indicate that an ovulation suppressant is not a good choice.
Choice D rationale
An allergy to foreign protein is not typically a contraindication for the use of ovulation suppressants. Birth control Explore
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