Marguerita, the 15-year-old client who is pregnant for the first time. Her BMI is 18 and she values being a small size. While her income is limited, she enjoys trying on size zero clothes when she is shopping with friends. Marguerita is young and lives at home. Her family is on a limited budget and they do not have a car. They live in an area of town which is designated as a “food desert.” There are no nearby grocery stores which stock a variety of fresh fruits and vegetables. All the stores require taking a bus downtown and transferring to a second bus. The nurse needs to consider options in Marguerita’s community to ensure her nutrition.
What goal for weight gain during pregnancy would you establish with her to promote maternal and fetal health?
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