Question

1. Renee is a 21-year-old African American woman in her 35^th week of pregnancy. She is married and the mother of two young children. Her pre-pregnancy BMI was 18.1. She has gained 24 pounds since becoming pregnant, but at her most recent prenatal visit, she was found to have lost a pound over the past week. She says that her weight loss is due to “stress.” Renee says she enjoys eating canned spinach cooked in tomato sauce with chopped onions and craves “Napoleon” flavored ice cream.

Considering Renee’s pre-pregnancy BMI, what weight gain goals would you give Renee?

A. 11 - 20 pounds

B. 15 - 25 pounds

C. 25 - 35 pounds

D. 28 - 40 pounds

2. It is reasonable to calculate an updated BMI for a pregnant woman especially because her current weight includes the additional weight of the placenta, uterus, blood, milk-producing glands, and the fetus itself.

A. True

B. False

3. Renee is a 21-year-old African American woman in her 35th week of pregnancy. Her pre-pregnancy BMI was 18.1 is considered underweight

A. True

B. False

4. Fluid retention can cause an increase in weight gain and should be monitored closely.

A. True

B. False

Answer 1

Answer 1: (A) 11-20 pounds.

Rationale: The 18.1 BMI indicates that the person is unhealthy and underweight. The BMI of 20 -25 is considered to be healthy and ideal. Hence to maintain the BMI of 20, the client needs to gain at least 20 pounds.

Answer 2: False

Rationale: The BMI is calculated according to the previous weight or before pregnancy weight. Hence at present the BMI can not be Calculated.

Answer 3: True

Rationale: The BMI 18.1 is considered to be unhealthy and underweight.