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NCLEX · General

A pregnant client asks about recommended weight gain during pregnancy. The nurse explains that recommended weight gain is primarily based on:

Correct answer

The client's pre-pregnancy body mass index (BMI)

  1. A The client's height only
  2. B The client's pre-pregnancy body mass index (BMI)
  3. C The baby's gender
  4. D The client's age only

Why this is the answer

Recommended pregnancy WEIGHT GAIN is based primarily on the client's PRE-PREGNANCY BMI (body mass index). General guidelines: NORMAL BMI (18.5-24.9): gain about 25-35 lbs; UNDERWEIGHT (BMI <18.5): gain more (about 28-40 lbs); OVERWEIGHT (BMI 25-29.9): gain less (about 15-25 lbs); OBESE (BMI ≥30): gain about 11-20 lbs. NCLEX-PN health promotion/maternal health. Appropriate weight gain supports fetal growth while minimizing complications (gestational diabetes, hypertension, macrosomia). Multiple gestation (twins) requires more. Knowing that recommended gain is individualized by pre-pregnancy BMI is a tested prenatal health-promotion concept.
Source: NCLEX-PN Health Promotion — Pregnancy Weight Gain

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