NCLEX-PN

Category - Health Promotion

A female client at 3 weeks gestation visits the prenatal clinic for her first check up. The client has a BMI of 17. Based on the client’s body mass index, which of the following is the most appropriate nutritional goal for the client?
  1. A weight gain of 25 to 40 pounds during the pregnancy
  2. A weight gain of 30 to 40 pounds during the pregnancy
  3. A weight gain of less than 15 pounds during the entire pregnancy
  4. A weight gain of 1 pound per month during the first trimester and 1 pound per week during the last 2 trimesters
Explanation
Answer: B - A client who is underweight is recommended to gain 30 to 40 pounds, or slightly more weight than the average woman, during the pregnancy. In the average client, a weight gain of 25 to 40 pounds is recommended or 1 pound per month during the first trimester and 1 pound per week thereafter.
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