When planning care for an obese pregnant client, which need should the nurse anticipate?

When caring for an obese pregnant client, it is important to anticipate specific needs related to their health and management of potential complications. The administration of subcutaneous heparin may be prescribed as an intervention due to the higher risk of thromboembolic events, such as deep vein thrombosis (DVT), which can be more prevalent in obese individuals. The increased body mass can lead to altered hemodynamics and reduced mobility, contributing to the risk of clot formation during pregnancy.

In addition to ensuring the prevention of thromboembolism, careful monitoring and management of other associated risks for obese pregnant clients are essential. These may include monitoring for gestational diabetes, hypertensive disorders, and complications during labor and delivery, highlighting the need for a comprehensive care plan tailored to the individual's circumstances. Thus, the anticipation of routine administration of subcutaneous heparin aligns with the proactive approach to managing the health of the obese pregnant client.