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7243 Gynaecology & Obstetrics

An obese, 25-year-old G1P0 comes to your office at 8 weeks gestational age for her first prenatal visit. She is delighted to be pregnant and wants to do whatever is necessary to ensure a healthy pregnancy. She is currently 5 ft, 2 in. tall and weighs 300 lb. She is concerned because she is overweight and wants you to help her with a strict exercise and diet regimen so that she can be healthier during the pregnancy. During your counseling session with the patient, you advise her of all of the following except

AMarked obesity in pregnancy increases the risk of developing diabetes, hypertension, and fetal macrosomia
BShe should gain at least 25 lb during the pregnancy because nutritional deprivation can result in impaired fetal brain development and intrauterine fetal growth retardation
CObese women will still have adequate fetal growth in the absence of any weight gain during pregnancy
DShe should avoid initiating a vigorous exercise program to get in shape
Gynaecology & Obstetrics
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