A midwife is managing the nutritional status of a 23 - year - old client at 8 weeks’ gestation. It is the client’s first prenatal visit. The client has a BMI of 18. Which of the following interventions is the most appropriate for the client?
  1. Instruct the client to eat foods high in protein.
  2. Add between 500 and 1,000 calories per day to the client’s total caloric intake.
  3. Inform the client that she should gain as much weight as she can.
  4. Develop healthy menus for the client.
Explanation
Answer: B - When managing the nutritional status of an underweight client, adding between 500 and 1,000 calories per day to the client’s total caloric intake is the most appropriate intervention. A high - protein diet should be avoided during pregnancy. High - protein foods add more solute load to the kidneys and may cause acidosis. It is better to advise the client to eat nutritional foods than to advise her to gain as much weight as she can. The midwife may also develop healthy menus with the client for improved compliance.
Was this helpful? Upvote!
Login to contribute your own answer or details

Top questions

Related questions

Most popular on PracticeQuiz