Question

By the 5th month of pregnancy, an adult multipara client of average prenatal height and weight has gained 14 lbs. Which action by the nurse is most important?

a) Encourage the client to increase calorie intake.
b) Advise the client to reduce overall food intake.
c) Monitor the client's blood pressure regularly.
d) Assess for signs of gestational diabetes.

Answer 1

Assess for signs of gestational diabetes.

Step-by-step explanation:

The most important action for the nurse to take in this situation is to assess for signs of gestational diabetes. Gain of 14 lbs by the 5th month of pregnancy is considered excessive and may indicate the presence of gestational diabetes. This condition can have serious implications for both the mother and the baby, so it is important to monitor for signs and symptoms.