Question

A nurse is teaching a ct who has BMI of 22 about dietary recommendations during pregnancy. Which of the following statements by the ct indicates an understanding of the teaching?

a) "I need to significantly reduce my calorie intake."
b) "I should avoid all forms of physical activity."
c) "I can eat whatever I want without any restrictions."
d) "I should ensure a balanced diet with adequate nutrients."

Answer 1

The correct dietary recommendation during pregnancy for a client with a BMI of 22 is to ensure a balanced diet with adequate nutrients, not to double caloric intake. Only about 300 extra calories are needed daily during the latter stages of pregnancy, and balancing these with physical activity is key.

Step-by-step explanation:

The correct answer to the question regarding dietary recommendations during pregnancy for a client with a BMI of 22 is d) "I should ensure a balanced diet with adequate nutrients." A common myth is that pregnant women need to eat for two and double their caloric intake. However, the reality is they need only about 300 extra calories per day, particularly during the last trimester of the pregnancy. According to the 2015 Dietary Guidelines for Americans, a healthy eating pattern includes a variety of vegetables, whole fruits, grains, low-fat dairy, a variety of protein foods, and oils, while limiting saturated fats, added sugars, and sodium. Balancing calorie intake with physical activity is crucial. Pregnant women should enjoy their food, but avoid oversized portions and maintain a moderate level of physical activity unless contraindicated. Doubling the calorie intake can lead to excessive weight gain, potentially causing health issues for both the mother and the baby.