Which client is most at risk for a low-birth-weight infant?
a. 22-year-old, 60 inches tall, normal prepregnant weight
b. 18-year-old, 64 inches tall, body mass index is <18.5
c. 30-year-old, 78 inches tall, prepregnant weight is 15 lb above the norm
d. 35-year-old, 75 inches tall, total weight gain in previous pregnancies was 33 lb
ANS: B
The client who has a low prepregnancy weight is associated with preterm labor and low- birth-weight infants. Women who are underweight should gain more during pregnancy to meet the needs of pregnancy as well as their own need to gain weight; clients who have a normal prepregnancy weight, who start pregnancy overweight, or who have a history of excessive weight gain in pregnancy are not at risk for low-birth-weight infants.
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