Healthy pregnancy healthy baby: Pre-training questionnaire

(NOTE: all questions are mandatory)

1. Reflect on your current KNOWLEDGE regarding the following statements.
Tick the appropriate number that best describes your knowledge from 1 (not at all knowledgeable) to 10 (highly knowledgeable).

a) The risks associated with high BMI in pregnancy for mothers

b) The risks associated with high BMI in pregnancy for infants

c) Gestational weight gain recommendations based on pre-pregnancy BMI

d) The Australian Dietary Guidelines food recommendations for pregnant women

e) The Physical Activity recommendations for pregnant women

f) When to weigh pregnant women

2. How CONFIDENT do you currently feel regarding the delivery of the following discussions and advice during pregnancy?
Tick the appropriate number to rate your confidence from 1 (not at all confident) to 10 (extremely confident).

a) Discussing pre-pregnancy weight and BMI at first antenatal visit

b) Discussing appropriate weight gain based on pre-pregnancy BMI

c) Discussing the risks for both mother and child associated with a high pre-pregnancy BMI

d) Discussing and supporting pregnancy weight gain with women who have had weight loss surgery

e) Discussing and supporting pregnancy weight gain with women who have had or currently have an eating disorder

f) Discussing the importance of the following for child and maternal health:

i. Healthy eating

ii. Physical Activity

iii. Healthy gestational weight gain

g) Identifying deviations from:

i. Healthy eating recommendations

ii. Physical activity recommendations

iii. Healthy gestational weight gain

h) Providing support to overcome barriers to:

i. Healthy eating

ii. Physical Activity

iii. Healthy gestational weight gain

3. Compared to a woman who gains the recommended amount of weight, what level of risk for the following complications is a woman who gains excess weight in pregnancy?

a) Overall risk of complications

b) Medical complications of pregnancy such as diabetes or high blood pressure

c) Assisted delivery such as caesarean section

d) A baby large for gestational age

e) A baby who is overweight later in life

f) A baby small for gestational age

4. If a woman has a booking in weight of 64kg, a pre-pregnancy weight of 60kg and a height of 160cm what BMI should her weight gain recommendations be based on:

37.5 kg/m²

23.4 kg/m²

25.0 kg/m²

22.3 kg/m²

5. To what extent do you think the following statements are TRUE?

a) If a pregnant woman is eating a healthy diet there is no need for her to be physically active during pregnancy.

b) To meet energy needs during pregnancy all women regardless of weight status should eat a little more in the second and third trimester

6. To what extent do you think the following statements are true?

a) Using clinical terms such as obese or morbidly obese is considered acceptable to many pregnant women when discussing weight

b) Negative experiences in relation to weight are commonly reported in the literature by pregnant women

c) Initiating conversations about weight can be challenging for many health care professionals for many reasons

7. Plotting weight regularly during pregnancy on a BMI specific chart

a) Can promote healthy gestational weight gain

b) Provides a visual tool to guide conversations between a woman and her health care provider

c) Is not helpful in routine antenatal care

d) Can be shared between a woman and her health care provider

e) All of the above

f) a, b and d

8. To increase a woman’s self- efficacy for gaining a healthy pregnancy weight a clinician can:

a) Caution women or use a directive approach to advise on weight gain

b) Encourage self- monitoring of weight on a weight gain chart

c) Provide ongoing feedback and encouragement on progress

d) Asking a woman why she is tracking outside of her weight gain range

e) b and c

9. Practical strategies that could slow the rate of weight gain for someone who is plotting above the healthy weight gain range on the pregnancy weight gain chart:

a) Skipping meals or snacks, and monitoring sedentary time

b) Shopping to a meal plan, and adding extra vegetables to meals

c) Increasing frequency of snacking or reducing incidental activity

d) a and c

10. Sonia had Roux-en-Y gastric bypass surgery (RYGB) 2 years ago. She was maintaining her pre-pregnancy weight of 75kg (down from 110kg) and her height is 165cm. At her first visit (14 weeks) she was 77kg. Sonia is anxious about gaining too much weight during pregnancy as she has made so many changes to her lifestyle to maintain her weight. What should you advise Sonia in relation to her weight gain?

a) Given her surgery it would be reasonable to maintain her current weight

b) Based on her pre-pregnancy BMI the recommended weight gain for the healthiest pregnancy possible would be 7-11.5kg

c) Accessing additional support from a dietitian to assess she is on track with her nutrition and weight gain.

d) b and c

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