When explaining the recommended weight gain to your client, the nurse's teaching should include which statement?
a. "All pregnant women need to gain a minimum of 25 to 35 pounds."
b. "The fetus, amniotic fluid, and placenta require 15 pounds of weight gain."
c. "Weigh gain in pregnancy is based on the client's prepregnant body mass index."
d. "More weight should be gained in the first and second trimesters and less in the third."
ANS: C
Recommendations for weight gain in pregnancy are based on the woman's prepregnancy weight for her height (body mass index). Depending on the prepregnant weight, recommendation for weight gain may be more or less than 25 to 35 pounds. The combination of the fetus, amniotic fluid, and placenta averages about 11 pounds in the client who has a normal BMI. Less weight should be gained in the first trimester, when the fetus needs fewer nutrients for growth, and more in the third trimester, when fetal growth is accelerated.
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