Practice Quiz

CPM Certified Professional Midwife

Category - Prenatal

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A G1P0 client at 10 weeks’ gestation comes to the clinic for her prenatal visit. The client has a BMI of 32. The client asks the midwife how much weight she should gain by the end of her pregnancy. The most appropriate statement by the midwife 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. “You may gain no more than 20 pounds during your pregnancy.”
  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 or greater than 30. Pregnant clients who are obese should gain between 11 and 20 pounds before delivery. The optimal weight gain for clients in the normal weight and slightly overweight categories is between 24 and 25 pounds. Clients should not be on restrictive food diets during pregnancy. Dieting when pregnant can be dangerous to both mother and child. Some pregnant clients with obesity lose weight during the pregnancy because of vomiting and decreased appetite, not because of dieting.
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