Final answer:
d.""I should plan to gain a total of 25 to 35 pounds.""
The correct statement indicating an understanding of the dietary recommendations during pregnancy is planning to gain a total of 25 to 35 pounds. Consuming an extra 300 calories per day during the second and third trimesters is usually sufficient, not 600 calories.
Step-by-step explanation:
The client who has a BMI of 22 and is receiving dietary recommendations during pregnancy demonstrates an understanding of the teaching with the statement, "I should plan to gain a total of 25 to 35 pounds." This reflects the typical weight gain range that is recommended for a healthy pregnancy. It's important to note that during the first trimester, additional calories are not needed, but weight gain of approximately 0.45 kg (1 lb) per month is common. In the second and third trimesters, it is recommended to consume an additional 300 calories per day to support the growing fetus, rather than 600 calories as the client suggested, and most women gain about 0.45 kg (1 lb) per week during these stages. There's no need to avoid a vegetarian diet if it is well-planned and supplements the necessary nutrients. Decreasing protein intake is also not advisable as protein, along with other nutrients, is crucial during pregnancy.