A Movie Actress Comes to the Clinic for Her First

A movie actress comes to the clinic for her first prenatal visit. The client is 7 weeks pregnant. The client has a BMI of 28. The nurse midwife informs the client that she needs to add 300 calories to her daily diet. The client is concerned about getting fat. She asks the nurse why it is important to add calories to her diet during pregnancy. Which of the following responses made by the nurse midwife is the least appropriate?

A) "The added calories are needed to supply energy for the fetus and placenta."
B) "Carrying extra weight can be physically demanding. You need the added calories help you keep up with the increasing workload."
C) "The thyroid function increases during pregnancy. You must have a sufficient amount of calories to keep up with the demands of having an elevated metabolic rate."
D) "If you were obese, you would have been instructed to eat 1,200 calories per day. However, having a BMI of 28 shows that you need to add 300 more calories to support your pregnancy needs."