Module 7: Knowledge check | Metro North Health

1. 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) Advise that weight gain is too quick and ask Sasha what might be contributing to this

d) b and c

2. Anna is 20 weeks pregnant with her first child. She is 102kg having gained only 1kg so far with a pre-pregnancy BMI of 34kg/m2. She wants to have a water birth, but the weight limit is 100kg for the birthing pool. What is the safest option for Anna’s weight?

a) Gain within the 5-9kg recommended for women with a BMI over 30kg/m²

b) A weight loss of 5kg over the next 20 weeks so she is able to have a water birth

c) Maintaining her current weight will be fine and she could still have a water birth

d) b or c

3. For a woman who has had an eating disorder prior to falling pregnant, which of the follow options should NOT form part of care.

a) Have an open conversation about the importance of weight as a vital sign in pregnancy

b) Do not discuss weight at all due to the sensitive nature of the topic

c) Discuss with the woman what is the best approach to monitor and track pregnancy weight gain for her

d) Advise on the healthy weight gain range for her pre-pregnancy BMI

Healthy pregnancy healthy baby: Module 7

Knowledge check