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Question:
A 26-year-old primigravida mother presents for her prenatal care visit at 24 weeks. She states that she has been feeling well. The nurse notes that the mother has gained 30 pounds since her first prenatal visit at 8 weeks, at which she had a normal weight. The nurse counsels the mother on which of these possible complications related to excess weight gain during pregnancy? Select all that apply.
A. Increased risk for stress fractures
B. Increased risk for developing hypertension
C. Increased risk for preeclampsia
D. Increased risk for developing Type II Diabetes
E. Increased risk for premature birth
A
B, C, and D
explanation
Ideal weight gain for a pregnancy is between 22 and 27 pounds. Gaining substantially more weight increases the risk of preeclampsia during pregnancy. Also, if the excess pregnancy weight is not lost after the infant’s birth, a woman has a higher risk of developing both hypertension and Type II Diabetes. Stress fractures are not a result of excess weight gain during pregnancy. Risk for premature birth increases with women who are underweight or overweight before pregnancy.
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