A nurse is reinforcing teaching with a client who has a pre-pregnancy BMI of 21. How much weight should the nurse recommend the client gain during the course of the pregnancy?

16.4 to 20.5 kg (36 to 45 lb)

5 to 7.7 kg (11 to 17 lb)

11.4 to 15.9 kg (25 to 35 lb)

8.2 to 10.9 kg (18 to 24 lb)

Answer and Explanation

The Correct Answer is C

A. A weight gain of 16.4 to 20.5 kg (36 to 45 lb) is excessive for a client with a pre-pregnancy BMI of 21, which falls within the normal range. Such weight gain is more appropriate for an underweight client.

B. A weight gain of 5 to 7.7 kg (11 to 17 lb) is inadequate for a client with a normal pre-pregnancy BMI. This range is suitable for an overweight or obese client.

C. A pre-pregnancy BMI of 21 falls within the normal range (18.5–24.9), and the recommended weight gain for clients in this category is 11.4 to 15.9 kg (25 to 35 lb). This range supports healthy fetal growth and reduces the risk of complications.

D. A weight gain of 8.2 to 10.9 kg (18 to 24 lb) is slightly below the recommended range for a client with a normal BMI and may not adequately support fetal development. This range is more appropriate for overweight individuals.

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Correct Answer is A

Explanation

A. Among the options listed, the intrauterine device (IUD) has the lowest failure rate. IUDs are highly effective at preventing pregnancy with a failure rate of less than 1%.
B. Oral contraceptives have a higher failure rate compared to IUDs.
C. The contraceptive sponge has a higher failure rate compared to IUDs.
D. The diaphragm has a higher failure rate compared to IUDs.

A. Choose a ⅝-inch needle to administer the vaccine. B. Administer the vaccine into the dorsal gluteal muscle. C. Use a 20-gauge needle to administer the vaccine. D. Administer 0.5 mL of the vaccine.

Correct Answer is D

Explanation

A: The recommended needle length for administering vaccines to newborns is usually ⅝ inch, but the needle choice can vary depending on the infant's size and age.
B: The preferred site for administering vaccines to infants is the vastus lateralis muscle in the anterolateral thigh, not the dorsal gluteal muscle.
C: The gauge of the needle can vary, and a 20-gauge needle may be appropriate depending on the specific vaccine and infant's size.
D: The standard dose for the hepatitis B vaccine for newborns is 0.5 mL.

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A nurse is reinforcing teaching with a client who has a pre-pregnancy BMI of 21. How much weight should the nurse recommend the client gain during the course of the pregnancy?

Nursing Test Bank

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Correct Answer is D

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