A client learns that she is pregnant with twins after an ultrasound. The client asks the midwife how much weight she should gain during the pregnancy. Which of the following statements made by the midwife is the most accurate?
  1. “You need to gain one pound per month during the first trimester, and then one pound per week during the last two trimesters.”
  2. “You need to gain one pound per month on all three trimesters.”
  3. “You should gain one pound per week during the entire pregnancy.”
  4. “You need to control your weight gain. You must not gain more than fifteen pounds during the entire pregnancy.”
Explanation
Answer: C - A client who is pregnant with twins should be encouraged to gain at least one pound per week, for a total of 40 to 45 pounds, during the pregnancy. Clients who are pregnant with one fetus and weigh within the normal range may gain 25 to 40 pounds during the pregnancy. Mothers who are pregnant with twins or obese are not encouraged to go on a diet.
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