Maternal-NB Unit: ATI Ch 5 Nutrition During Pregnancy
Recommended weight gain during pregnancy
usually 11.3 to 15.9 kg (25 to 35 lb)
The general rule: Weights
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)
- 6.8 to 11.3 kg (15 to 25 lb).
Nursing assessment includes:
- Obtain subjective and objective dietary information
- Determine the client’s caloric intake
Nursing assessment/subjective and objective dietary information
● Journal of the client’s food habits, eating pattern, and
● 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)
Nursing assessment/Determine the client’s caloric intake
- 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.
Plan of care for a pregnant client
- The client will consume the recommended dietary
nutrients during their pregnancy.
Evaluation of the plan
- Is there adequate weight gain?
- Is the client compliant with the nursing plan of care?
- Assess the client’s dietary journal during prenatal visits.
- Provide educational materials regarding nutritional
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.