A patient has a BMI 16 and weighs 96lbs and asks what the appropriate amount of weight she should gain with har pregnancy. Which of the following would be the best answer
3 lbs per week for each week of pregnancy
35-40 lbs throughout the entire pregnancy
15-20 lbs throughout the entire pregnancy
Less than a 1lb per week for each week of pregnancy.
The Correct Answer is C
A. 3 lbs per week is too high for someone with a BMI of 16 and could lead to excessive weight gain.
B. 35-40 lbs is too broad and may not be suitable for this patient's low BMI, which typically requires a more controlled approach.
C. For a patient with a BMI of 16 (underweight), the recommended weight gain during pregnancy is generally between 28-40 pounds, but given the patient's lower weight, 15-20 lbs is a realistic goal for weight gain, allowing for healthy fetal development.
D. Less than 1lb per week could be too slow, potentially leading to insufficient fetal growth.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D"]
Explanation
A. A G3 P2 laboring patient with a current vaginal exam of 8/100%/0: This patient is in advanced labor (transition phase) and IV pain medication is typically avoided due to the proximity to delivery, which could affect the newborn.
B. A G1 P0 laboring patient with a Category 1 strip and a current vaginal exam of 4/80%/-1: This patient is in active labor with normal fetal heart tracing, making her a suitable candidate for IV pain medication.
C. A G1 P0 laboring patient with the FHT showing no variability and late decelerations: This patient has non-reassuring fetal heart tracings, indicating potential fetal distress, making IV pain medication inappropriate as it could further compromise the fetus.
D. A G1 P0 laboring patient who has a vaginal exam of 5/100%/0 and contractions every 4 minutes: This patient is also in active labor with normal fetal heart tracings, making her a suitable candidate for IV pain medication.
Correct Answer is C
Explanation
A. Amniotic fluid helps maintain a stable temperature for the fetus.
B. It cushions the fetus from external trauma.
C. Amniotic fluid does not protect from toxic substances, requiring clarification.
D. It enables the fetus to move, aiding musculoskeletal development.
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