Practice Quiz

Doula

Category - Pregnancy

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A clinically obese client with a BMI of 32 is pregnant for the first time at 10 weeks' gestation, She asks the doula how much weight she should gain by the end of her pregnancy. The most appropriate statement by the doula is:
  1. "You need to lose weight during your pregnancy to avoid gestational diabetes. We need to come up with a diet plan that can help you restrict your food intake."
  2. "Your doctor or midwife will likely instruct you to gain no more than 20 pounds during your pregnancy. Let's consider how you might meet this goal without going over."
  3. "This is not the best time to go on a diet. It does not matter how much you gain. What is more important is that you eat healthy food throughout your pregnancy."
  4. "You may gain 25 pounds during your pregnancy. The quality of your foods is more important than the amount of your food intake per day."
Explanation
Answer: B - The client may gain no more than 20 pounds during the pregnancy. Based on the assessment, the client is obese, meaning her BMI is equal to or greater than 30. Pregnant clients who are obese should gain between 11 and 20 pounds before delivery. The optimal weight gain for women in the normal weight and slightly overweight categories is between 24 and 25 pounds. Women should not be on restrictive food diets during pregnancy. Dieting when pregnant can be dangerous to both mother and child. Some obese pregnant women lose weight during the pregnancy because of vomiting and decreased appetite, not because of dieting.
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