“…Although specific nursing interventions for the obese pregnant client are discussed in the literature (Lachat, Owen, & Ebel, 1995), few data exist to support these modifications. For example, Lachat et al (1995) suggest that obese pregnant clients should be medicated according to weight and have their vital signs assessed before, during, and after ambulation to determine their degree of tolerance to the activity. Yet, objective evaluation of the efficacy of these interventions in terms of patient outcomes is lacking.…”