Practice Quiz

CPM Certified Professional Midwife

Category - Prenatal

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A movie actress comes to the clinic for her first prenatal visit. The client is 7 weeks pregnant. The client has a BMI of 28. The midwife informs the client that she needs to add 300 calories to her daily diet. The client is concerned about getting fat. She asks the midwife why it is important to add calories to her diet during pregnancy. Which of the following responses made by the midwife is the least appropriate?
  1. “The added calories are needed to supply energy for the fetus and placenta.”
  2. “Carrying extra weight can be physically demanding. You need the added calories help you keep up with the increasing workload.”
  3. “The thyroid function increases during pregnancy. You must have a sufficient amount of calories to keep up with the demands of having an elevated metabolic rate.”
  4. “If you were obese, you would have been instructed to eat 1,200 calories per day.However, having a BMI of 28 shows that you need to add 300 more calories to support your pregnancy needs.”
Explanation
Answer: D - Clients who are obese and pregnant should not go on a diet and should never consume fewer than 1500 calories per day. About 300 calories per day are added to meet the increased needs of pregnancy. The added calories are needed to supply energy for the fetus and placenta and to help a pregnant client keep up with the increasing metabolic rate due to increased thyroid function and increased workload caused by the added weight of conceptus products.
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