North American Registry of Midwives (NARM) Practice Exam

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At what gestational age should a client’s nutrition be reevaluated to ensure adequate diet for fetal brain growth?

20 weeks
24 weeks
28 weeks
32 weeks

The correct answer is: 28 weeks

At 28 weeks of gestation, there is a significant increase in fetal brain growth and development, which is why nutrition should be specifically reevaluated at this time. Research indicates that the third trimester is crucial for fetal brain growth, with substantial neural development and a rapid increase in head circumference occurring during this period. Ensuring adequate nutrition during this critical stage is essential, as the developing brain requires specific nutrients, particularly important fatty acids, proteins, vitamins, and minerals. A thorough assessment of the mother's diet at 28 weeks helps identify any potential nutritional deficiencies that could impact fetal development. This timing allows for any necessary dietary adjustments to support optimal fetal health and growth leading up to delivery.