A client post-delivery is concerned about getting back to her prepregnancy weight. She had only gained 15 pounds during her pregnancy. Which assessment factor would be of concern at her 6-week postpartum checkup?
a. Client has lost 35 pounds during the 6-week period prior to her scheduled checkup.
b. Client states that she is eating healthy and limiting intake of processed foods.
c. Client relates increased consumption of fruits and vegetables in her diet postbirth.
d. Client has resumed her usual exercise pattern of walking around the neighborhood for 10 minutes each night.
ANS: A
Although a certain amount of weight loss is expected in the postpartum period, the fact that the reported weight loss is double the amount of weight gained during the pregnancy places the client at risk for malnutrition. Further inquiry is needed. Limiting the intake of processed foods is a healthy dietary alternative to decreasing sodium intake. Increases in fruits and vegetables are a healthy dietary alternative to decrease possible occurrence of hypertension. An exercise program is part of a healthy nutrition approach.
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