ACE Health Coach Certification Practice Test

For a pregnant client with a BMI of 23.0 kg/m2, what is considered a healthy amount of weight gain according to the Institute of Medicine?

1. 11-20 pounds (5.0-9.1 kg)

2. 15-25 pounds (6.8-11.4 kg)

3. 25-35 pounds (11.4-15.9 kg)

4. 28-40 pounds (12.7-18.2 kg)

The correct answer is: 25-35 pounds (11.4-15.9 kg)

For a pregnant client with a BMI of 23.0 kg/m², which falls within the "normal weight" category, the Institute of Medicine (IOM) guidelines recommend a healthy weight gain of 25-35 pounds (11.4-15.9 kg) throughout the course of the pregnancy. This range is based on the understanding that normal weight women have sufficient nutritional reserves and a healthy metabolic profile, which support both their own health and the healthy development of the fetus. This recommendation takes into account the necessary increases in body mass to accommodate the growing baby, additional amniotic fluid, increased blood volume, and other physiological changes that occur during pregnancy. The importance of adhering to these guidelines is emphasized since insufficient or excessive weight gain can have negative implications for both maternal health and fetal development. Therefore, achieving the right balance in weight gain is essential for promoting a healthy pregnancy outcome.