A Clinically Obese Client with a BMI of 32 Is

A clinically obese client with a BMI of 32 is pregnant for the first time at 10 weeks' gestation, She asks the doula how much weight she should gain by the end of her pregnancy. The most appropriate statement by the doula is:

A) "You need to lose weight during your pregnancy to avoid gestational diabetes. We need to come up with a diet plan that can help you restrict your food intake."
B) "Your doctor or midwife will likely instruct you to gain no more than 20 pounds during your pregnancy. Let's consider how you might meet this goal without going over."
C) "This is not the best time to go on a diet. It does not matter how much you gain. What is more important is that you eat healthy food throughout your pregnancy."
D) "You may gain 25 pounds during your pregnancy. The quality of your foods is more important than the amount of your food intake per day."