b For singleton pregnancies. The range for women carrying twins is 35 to 45 lb (16 to 20 kg). Young adolescents (<2 years after menarche) and African-American women should strive for gains at the upper end of the range. Short women (<62 in. or <157 cm) should strive for gains at the lower end of the range.
Which of these snacks and fast foods do you like? (Use the box in Tab 7.)
When would be a good time for you to eat a bowl of cereal with milkand fruit?
Assist with dietary improvement: reinforce positive aspects of the diet; help the woman to set realistic goals (e.g., one change at a time or small changes in related behaviors); and encourage her to commit to one change, possibly in writing (a contract for change).
What will you change? How much change is realistic right now?
When will you do it? Where? How? Who might help you?
If the woman is currently breastfeeding and plans to continue, emphasize the importance of careful food selection and give concrete suggestions.