A client who weighed 60 kg before becoming pregnant with twins is having a routine prenatal examination at gestational week 24. What should be this client's weight in kilograms at this time? (Round to the nearest whole number.)
What will be an ideal response?
71 kg
Explanation: A total weight gain of 40 to 45 lb with a 24-lb gain by 24 weeks is recommended for a client with a multiple-gestation pregnancy. To calculate the client's weight, first determine the prepregnancy weight in pounds by multiplying the weight in kilograms by 2.2, or 60 × 2.2 = 132 lb. If the weight gain should be 24 lb by week 24, add 24 lb to 132, or 132 + 24 = 156. Then divide the weight in kilograms by 2.2, or 156/2.2 = 70.9 or 71 kg.
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