The client enters the second trimester, and the nurse provides education on the recommended weight gain based on patients with a normal BMI.
What are the standard recommendations?
2-4 pounds in the first trimester, 5-10 pounds in the second trimester, and 5-10 pounds in the third trimester.
0.5 pounds per week for all trimesters, as it averages out.
1 pound per week in the second and third trimester, while the client may need to gain more based on her weight.
Since the client has lost weight, there is no recommendation for weight gain.
The Correct Answer is C
Choice A rationale
This choice is incorrect because a normal weight woman should gain 1 pound per week in the second and third trimester and 2 to 4 pounds in the first trimester. The total weight gain should be between 25 and 35 pounds. The weight gain of 5-10 pounds in the second and third trimesters is too low.
Choice B rationale
This is an incorrect recommendation because a pregnant woman with a normal BMI should gain an average of 1 pound per week during the second and third trimesters. The total weight gain should be 25 to 35 pounds. In the first trimester, the average weight gain is 2 to 4 pounds, which is a significant difference.
Choice C rationale
This choice is the most correct. The standard recommendation for weight gain for a pregnant woman with a normal BMI (18.5-24.9) is a total of 25 to 35 pounds. This is distributed as a gain of 2 to 4 pounds during the first trimester, followed by a gain of approximately 1 pound per week during the second and third trimesters.
Choice D rationale
Even if a client has lost weight, there is still a recommendation for weight gain during the pregnancy. The standard recommendation for weight gain for a pregnant woman with a normal BMI is 25 to 35 pounds. The client's nutritional status should be assessed, and a plan should be implemented to ensure adequate weight gain for the health of the mother and fetus
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","E"]
Explanation
Choice A rationale
While calcium and protein are both vital nutrients during pregnancy, there is no direct scientific link that calcium aids in protein absorption. Protein is broken down into amino acids in the gastrointestinal tract and then absorbed into the bloodstream. Calcium is absorbed through a separate, active transport process that is dependent on vitamin D.
Choice B rationale
Vegan clients can indeed obtain adequate protein from a variety of plant-based sources. Nuts, seeds, beans, lentils, and soy milk are all rich in protein and, when consumed in combination, provide a complete amino acid profile necessary for the synthesis of new proteins for fetal development and maternal tissue growth during pregnancy.
Choice C rationale
Protein is crucial for the formation of new cells and tissues, including muscles, blood, and organs. While protein deficiency can impair bone growth due to its role in the formation of the organic matrix, it is calcium and phosphorus that are the primary mineral components of bones and teeth, providing their rigid structure and strength.
Choice D rationale
Neural tube defects are primarily linked to a deficiency in folic acid (vitamin B9), which is essential for the proper development of the neural tube early in pregnancy. While protein is critical for overall fetal growth and development, its deficiency is not the primary cause of neural tube defects.
Choice E rationale
Protein is a fundamental macronutrient essential for the basic growth and development of the fetus. It provides the necessary amino acids for the synthesis of all fetal tissues, including organs, muscles, blood, and the central nervous system. It also supports the growth of maternal tissues, such as the placenta and uterus.
Correct Answer is A
Explanation
Choice A rationale
Screening for Group Beta Streptococcus (GBS) is routinely recommended for all pregnant women between 35 and 37 weeks of gestation. This timing is chosen because it's close enough to delivery to be predictive of the client's GBS status during labor, but early enough to allow time for antibiotic administration if needed. This reduces the risk of neonatal GBS disease.
Choice B rationale
A positive GBS culture does not necessitate a cesarean section. The standard management for a GBS-positive client is the administration of intrapartum antibiotic prophylaxis. A cesarean section is typically performed only for standard obstetrical indications, not solely for GBS colonization, as the risk of transmission to the neonate is primarily during vaginal delivery.
Choice C rationale
GBS is not a viral infection; it is a type of bacterium commonly found in the gastrointestinal and genitourinary tracts. Approximately 10-30% of pregnant women are colonized with GBS. While colonization is generally harmless to the mother, it can be transmitted to the fetus during birth, potentially causing severe illness like sepsis or pneumonia in the newborn.
Choice D rationale
Clients with risk factors such as previous GBS-positive pregnancy, prolonged rupture of membranes, or fever are not screened at 28 weeks. The standard screening is still conducted between 35 and 37 weeks. However, if a pregnant patient has GBS bacteriuria or a previous infant with GBS disease, intrapartum antibiotic prophylaxis is indicated regardless of their GBS status in the current pregnancy. .
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