The client is pregnant with twins. The nurse is providing nutritional information for this client. The client requests information about expected weight gain and achieving optimal nutrition during her pregnancy

Question

Which of the following is the nurse's best response? (Select all that apply.) 1. "You should plan on gaining 1.5 pounds each week.".
2. "You can expect to gain between 35 and 45 pounds during this pregnancy.".
3. "You need to eat about 300 extra calories each day when compared to what you ate prior to becoming pregnant.".
4. "Let's talk about some nutrient-dense foods that will help your babies develop well.".
5. "It is important to avoid eating seafood with high levels of mercury.".

Answer 1

2, 4, 5

Rationale: Clients who are pregnant with twins should eat approximately 150–500 kilocalories more than a client pregnant with one baby. Women who are pregnant with one baby require 350–452 extra kilocalories each day. This means that women pregnant with twins need to eat 500–952 extra kilocalories each day, when compared to what they ate prior to becoming pregnant. Women pregnant with twins can expect to gain 35–45 pounds during their pregnancies. Women who are pregnant with triplets should gain approximately 1.5 pounds each week and can expect to gain 50 pounds. All women who are pregnant should be encouraged to eat foods with high levels of nutrients and avoid seafood that contains high levels of mercury.