A 22-year-old woman pregnant with a single fetus has a preconception body mass index (BMI) of 24 . When she was seen in the clinic at 14 weeks of gestation, she had gained 1.8 kg (4 lb) since conception. How would the nurse interpret this?
a. This weight gain indicates possible gestational hypertension.
b. This weight gain indicates that the woman's infant is at risk for intrauterine growth restriction (IUGR).
c. This weight gain cannot be evaluated until the woman has been observed for sev-eral more weeks.
d. The woman's weight gain is appropriate for this stage of pregnancy.
D
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A Although this is an accurate statement, it does not apply to this patient. The de-sirable weight gain during pregnancy varies among women. The primary factor to consider in making a weight gain recommendation is the appropriateness of the pre-pregnancy weight for the woman's height. A commonly used method of evaluating the appropriateness of weight for height is the BMI. This woman has gained the appropriate amount of weight for her size at this point in her preg-nancy.
B Although this is an accurate statement, it does not apply to this patient. The de-sirable weight gain during pregnancy varies among women. The primary factor to consider in making a weight gain recommendation is the appropriateness of the pre-pregnancy weight for the woman's height. A commonly used method of evaluating the appropriateness of weight for height is the BMI. This woman has gained the appropriate amount of weight for her size at this point in her preg-nancy.
C Weight gain should take place throughout the pregnancy. The optimal rate of weight gain depends on the stage of the pregnancy.
D This is an accurate statement. This woman's BMI is in the normal range. During the first trimester, the average total weight gain is only 1 to 2.5 kg.
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