A woman at 20 weeks gestation has gained 25 pounds from her prepregnant weight. What is the best approach to care at this visit?

The best approach in this situation is to teach about expected normal weight gain during pregnancy. At 20 weeks gestation, a weight gain of 25 pounds is considered excessive, as guidelines typically recommend a weight gain of about 11 to 14 pounds during the first half of pregnancy for women with a normal pre-pregnancy weight.

It is important to address the patient's weight gain proactively, as excessive weight gain can lead to various complications such as gestational diabetes, hypertension, and potential delivery complications. Educating the patient about the recommended weight gain can help her understand the implications of her weight gain and encourage her to make necessary adjustments in her diet and exercise habits.

By focusing on this education, the healthcare provider empowers the woman with knowledge about her health and the health of her baby, allowing her to have a clearer understanding of what a healthy weight gain looks like for the remainder of her pregnancy. This guidance can create an opportunity for follow-ups on dietary habits and lifestyle choices, ultimately supporting better outcomes.