usually 11.3 to 15.9 kg (25 to 35 lb)

Clients should gain

• 1 to 2 kg (2.2 to 4.4 lb) during the first trimester
• Approximately 0.5 kg (1 lb) per week for the last two trimesters.

Underweight clients are advised to gain

• 12.7 to 18.1 kg (28 to 40 lb)

Overweight clients

• 6.8 to 11.3 kg (15 to 25 lb).

1. Obtain subjective and objective dietary information
2. Determine the client’s caloric intake

● Journal of the client’s food habits, eating pattern, and cravings
● Nutrition-related questionnaires
● Health history, including contraceptive history, previous pregnancies, chronic diseases
● The client’s weight on first prenatal visit and follow-up visits
● Laboratory findings (Hgb, iron levels)

• Have the client record everything eaten during a 24-hr period.
• The nurse, dietitian, or client can identify the caloric value of each item
• This record can provide better objective data about the client’s nutrition status.

Expected outcomes

• The client will consume the recommended dietary allowances/
  nutrients during their pregnancy.

Evaluation of the plan

• Is there adequate weight gain?
• Is the client compliant with the nursing plan of care?

Interventions

• Assess the client’s dietary journal during prenatal visits.
• Provide educational materials regarding nutritional benefits
  to the mother and their newborn.
• Encourage the patient to ask questions regarding their dietary plans.
• Obtain weight and assess for inadequate weight gain.
• Make a referral if needed.