Which client's weight gain during pregnancy should raise concern for the nurse?

Concerns about weight gain during pregnancy are closely linked to the recommended guidelines based on the client's pre-pregnancy body mass index (BMI). In general, the expected weight gain during the first trimester typically should range from 1 to 5 pounds, depending on individual circumstances.

The situation where a client gained 8 lb (4 kg) in the first trimester may raise concern because it exceeds the common recommendation for weight gain during this specific period. Such weight gain could indicate excessive caloric intake, which might lead to complications such as gestational diabetes, hypertension, or excessive weight gain over the entire pregnancy.

In contrast, the other weight gain scenarios mentioned align more closely with typical recommendations. A client gaining 12 lb in the second trimester reflects a balanced increase, considering the growth demands of the fetus during this stage. Gaining 15 lb in the third trimester also falls within acceptable weight gain ranges, given that it often reflects increased fetal weight and amniotic fluid. Lastly, the scenario where a client gained 10 lb in each trimester indicates a steady progression of weight gain, suggesting a well-regulated intake and healthy pregnancy progression.

Overall, the nurse needs to monitor weight gain closely, especially if it appears atypical for the stage of pregnancy