Question

Client History: Female pregnant with her second child.

Height: 62 ½”  

Prepregnancy weight: 127 lbs

Client History: Female pregnant with her second child.

Height: 62 ½”  

Prepregnancy weight: 127 lbs

At 8 weeks pregnant weighed 131 lbs – Weight gain/loss? __4_____

At 12 weeks pregnant weighed 130 lbs – Weight gain/loss?___3____

At 22 weeks pregnant weighed 141 lbs – Weight gain/loss?___14____

At 26 weeks pregnant weighed 146 lbs – Weight gain/loss?___19___

At 30 weeks pregnant weighed 153 lbs – Weight gain/loss?___26____

Questions to answer:

1. What weight range was this client in prior to pregnancy? ( Underweight, normal weight, overweight) Explain your answer.

2. What is this client’s total weight gain goal for pregnancy? How much should she gain?

3. When during this pregnancy did she gain an inappropriate amount of weight? What could have been a reason for this? (Look at the timing of the weight measurements.)

4. What would you tell her about the amount of weight she gained at her last appointment?

5. Would you recommend that she breastfeed her newborn? Why or why not? Be specific. – List 5 reasons

Answer 1

1. WEIGHT OF THE PATIENT PRIOR TO PREGNANCY = 127LB;HEIGHT=6 FEET 2.5 INCHES WHICH CORRESPONDS TO A BMI OF 16.1.

THE PATIENT SEEMS TO BE UNDERWEIGHT PRIOR TO PREGNANCY AS THE NORMAL BMI SHOULD BE 18.5 TO 24.9.

2.CLIENT'S TOTAL WEIGHT GAIN GOAL FOR  PREGNANCY SHOULD BE BETWEEN 28 lbs TO 40 lbs. BUT SHE GAINED WEIGHT OF 26 lbs WHICH IS LESSER TO THE NORMAL WEIGHT GAIN THAT SHOULD BE ACHIEVED.

3.SHE GAINED AN INAPPROPRIATE GAIN OF WEIGHT DURING THE FIRST TRIMESTER OF HER PREGNANCY , SHE LACKS PRECONCEPTIONAL CARE WHICH MAY BE THE REASON FOR LESS WEIGHT GAIN .BUT STILL SHE HAS ACHEIVED GAINING 1 TO 4.5lbs DURING THE FIRST TRIMESTER WHICH HAS LATER IMPROVED THERAFTER IN THE COURSE OF HER PREGNANCY .

4.THE AMOUNT OF WEIGHT THAT SHE HAS GAINED IN HER LAST APPOINTMENT IS CONSIDERED TO BE APPROPRIATE FOR HER BMI AND STATES THAT SHE IS IN GOOD PROGRESS OF PREGNANCY IN RELATION TO HER WEIGHT GAIN AND GROWTH OF THE BABY.

5. YES , BREASTFEEDING PLAYS A VITAL ROLE IN THE HEALTH OF BOTH THE MOTHER AND THE BABY.

• EXCLUSIVE BREAST FEEDING FOR 6 MONTHS IS ESSENTIAL .
• IT INCREASES BABY'S IMMUNE SYSTEM AND IS DEVOID OF ANY ALLERGIES.
• IT PROTECTS AGAINST MANY INFECTIONS AND DISEASES.
• IT IMPROVES THE INTELLIGENCE AND BRAIN FUNCTIONS OF THE BABY.
• IT CREATES AN EMOTIONAL BONDING BETWEEN THE MOTHER AND THE BABY.