A patient presents to the antepartum clinic with a history of a 20-pound weight loss. Her pregnancy ...

A patient presents to the antepartum clinic with a history of a 20-pound weight loss. Her pregnancy test is positive. She is concerned about gaining the weight back, and asks the nurse if she can remain on her diet.
 
  The nurse's best response would be: 1. As long as you supplement your diet with the prenatal vitamin, the amount of weight you gain in pregnancy is not significant.
  2. I understand that gaining weight after such an accomplishment must not look attractive, but weight gain during pregnancy is important for proper fetal growth.
  3. Dieting during pregnancy is considered child neglect.
  4. Excessive weight gain in pregnancy is due to water retention, so weight loss following birth will not be an issue.