A nurse is caring for a client at the first prenatal visit who has a BMI of 23.5. The client asks how much weight she should gain during pregnancy. Which of the following responses should the nurse make?
Explanation & Rationale
A. "The recommendation for you is about 15 to 25 pounds." This recommendation is appropriate for clients who are overweight (BMI 25–29.9), not those with a normal BMI. B. "A gain of about 25 to 35 pounds is recommended for you." A BMI of 23.5 falls within the normal range (18.5–24.9). The recommended total weight gain for clients with a normal BMI is 25–35 lbs (11.3–15.9 kg) during pregnancy to support fetal growth and maternal health. C. "A gain of about 1 pound per week is the best pattern for you." While the recommended weight gain in the second and third trimesters is about 1 lb/week, total weight gain is individualized based on pre-pregnancy BMI. D. "It would be best if you gained about 11 to 20 pounds." This is the recommendation for obese clients (BMI ≥30), not those with a normal BMI.