Question

A nurse is providing teaching to a client about the physiological changes that occur during pregnancy. The client is at 10 weeks of gestation and has a BMI within the expected reference range. Which of the following client statements indicates an understanding of the teaching?

a) "I will not gain more than 15 to 20 pounds during my pregnancy." The recommended weight gain for a woman who has a BMI within the expected reference range is 25 to 35 lb. The recommended weight gain for a woman who has a BMI above the expected reference range is 15 to 20 lb.
b) "I will likely need to use alternative positions for sexual intercourse." The weight gain of pregnancy will likely require alternative positions for sexual intercourse. This client statement indicates that she understands the nurse's teaching about the physiological changes that occur during pregnancy.
c) "I'm glad I had a breast reduction years ago so they will not enlarge with my pregnancy." The mammary glands of the breasts grow during pregnancy, causing progressive enlargement during the second and third trimesters of pregnancy. A breast reduction will not prevent this from occurring.
d) "I'm glad I have a light complexion and will not get any stretch marks." Stretch marks can occur as a response to pregnancy regardless of the client's complexion.

Answer 1

The client statement that indicates understanding of the teaching is "I will not gain more than 15 to 20 pounds during my pregnancy."

Step-by-step explanation:

The correct answer is a) "I will not gain more than 15 to 20 pounds during my pregnancy." The recommended weight gain for a woman who has a BMI within the expected reference range is 25 to 35 lb. The recommended weight gain for a woman who has a BMI above the expected reference range is 15 to 20 lb.