Page 136 - ترم ثاني كتاب تمريض صحة الام الكتروني

136

Weight Gain

1. Expected weight gain

a. Trimester 1--Two to 4 Ib total

b. Trimester 2—1/4 Ib per week

c. Trimester 3-One pound or- less per week

NB: Ib= 1250 gm

2. Problems with weight gain or loss

a. If the patient is gaining more than 2 lb per week, check for problems.

b. The patient can gain 10% of her original body weight before there is clinical evidence

of edema.

c. Weight loss is most significant in the first trimester, because the baby grows rapidly

and needs nutrients.

d. Weight loss of more than 5 lb in 2 weeks requires a diet history, lab tests, and

consultation with a physician.

3. Management

A. Loss of weight or failure to gain appropriately: try to determine the reason and

treat the patient accordingly.

1. Nausea or vomiting

2. Heartburn

3. Fear of gaining weight

a. Counsel and reassure patient. Explain distribution of weight gained during

pregnancy.

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