RN nutrition online practice 2019.
A nurse is teaching a client who has a BMI of 22 about dietary recommendations during pregnancy. Which of the following statements by the client indicates an understanding of the teaching? “I should avoid a vegetarian diet.” should decrease my intake of prorein.” should increase my daily intake by 600 calories” should plan to gain a total of 25 to 35 pounds.
The Correct Answer and Explanation is :
The correct answer is:
“I should plan to gain a total of 25 to 35 pounds.”
Explanation:
A BMI of 22 falls within the normal weight range (BMI of 18.5–24.9), according to standard guidelines. For individuals with a normal BMI prior to pregnancy, the recommended weight gain during pregnancy is 25 to 35 pounds to support the healthy growth and development of the fetus while maintaining maternal health.
Key Points:
- Importance of Weight Gain:
- Proper weight gain helps ensure the baby is born at a healthy weight and reduces the risk of complications such as preterm birth or growth restrictions.
- Gaining within the recommended range minimizes the risk of postpartum weight retention for the mother.
- Daily Caloric Needs:
- Caloric needs do not increase by 600 calories per day during pregnancy. In the second trimester, the recommendation is an additional 340 calories/day, and in the third trimester, an additional 450 calories/day is typically sufficient. Excessive caloric intake can lead to excessive weight gain, which poses health risks.
- Vegetarian Diets:
- A vegetarian diet is safe during pregnancy if well-planned to include adequate protein, iron, calcium, and vitamin B12. Therefore, avoiding a vegetarian diet is not necessary.
- Protein Intake:
- Protein needs increase during pregnancy to support fetal growth and maternal tissue expansion. The recommendation is about 71 grams/day, not a reduction.
By understanding these guidelines, the client can achieve a balanced diet, gain appropriate weight, and support both maternal and fetal health. This ensures a lower risk of complications and promotes healthy postpartum recovery.