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 A
Explanation
A. A Category 1 fetal heart rate tracing is considered normal, with a baseline FHR between 110-160 bpm, moderate variability, accelerations, and early decelerations, all of which are reassuring signs.
B. Category 2 tracings are indeterminate and would show a pattern of abnormal FHR, but not severe enough to be classified as Category 3.
C. Category 3 tracings are abnormal, characterized by absent variability and significant decelerations, suggesting fetal distress or other severe issues.
D. Category 4 is not a recognized category in fetal heart rate classification.
Correct Answer is B
Explanation
A. Rhogam is usually given at 28 weeks of pregnancy, not 4 days after delivery.
B. Rh-negative mothers who have had an Rh-positive baby are typically given Rhogam at 28 weeks gestation to prevent Rh sensitization. Rhogam is also given after delivery if the baby is Rh-positive.
C. Rhogam is necessary for Rh-negative women who have had an Rh-positive baby, as it helps prevent Rh sensitization in subsequent pregnancies.
D. Only the baby is at risk for Rh incompatibility, not the partner.
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