Certified Extremely Low Birth Weight (C-ELBW) Practice Exam

For 33-36 weeks gestation, the expected daily weight gain is which range?

2 – 5 grams/day 25 – 35 grams/day 40 – 50 grams/day 14 – 15 grams/day

Correct Answer:

14 – 15 grams/day

Explanation:

Late gestation fetal growth proceeds at a steady, modest pace. In the window of 33–36 weeks, the typical daily fetal weight gain is about 14–15 grams. That amounts to roughly 100 grams per week, so over these three weeks you’d expect on the order of a few tenths of a kilogram of added fetal weight. This rate fits with continued fat deposition and organ maturation as the fetus prepares for birth, without the rapid surges seen earlier in pregnancy. Other ranges would imply growth that’s too slow or too rapid for this late-pregnancy period. A much smaller daily gain would suggest potential growth restriction, while a markedly larger daily gain would be unusual for this stage of gestation.

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