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Health Promotion and Maintenance · Multiple choice · Generate solutions

A pregnant client has a normal pre-pregnancy BMI. What is the recommended total weight gain?

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Correct answer: A

The IOM recommends 25 to 35 lb for a normal BMI, 28 to 40 lb if underweight, 15 to 25 lb if overweight, and 11 to 20 lb if obese.

Source: IOM. Weight Gain During Pregnancy: Reexamining the Guidelines (2009); ACOG

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This question is one of 84 Health Promotion and Maintenance items in NCLEXSim. On the NCLEX-RN, this category makes up 6–12% of the exam.

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Study tip
  • Build a one-page growth and development grid by age: gross motor, fine motor, language, play, and safety teaching.
  • Review prenatal landmarks (fundal height, Naegele's rule, danger signs) and postpartum assessment (BUBBLE-HE).

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