A client who is in week 28 of gestation is concerned about her weight gain of 17 lb. Which is the nurse's best response?
a. "You should not gain any more weight until you reach the third trimester."
b. "You should try to decrease your amount of weight gain for the next 12 weeks."
c. "You have not gained enough weight for the number of weeks of your pregnancy."
d. "You have gained an appropriate amount for the number of weeks of your pregnancy."
ANS: D
A woman in her 28th week of gestation should have gained between 17 and 20 lb. The normal pattern of weight gain is about 3.5 lb total in the first trimester (by 13 weeks) and 1 lb per week after that. The client has gained the appropriate amount of weight. It would be inappropriate to have her decrease her weight gain. She has gained an appropriate amount of weight and should not increase the weight gain. Weight gain needs to be consistent during the last part of the pregnancy and should not be suppressed.
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