Warning signs of an eating disorder in pregnancy include no weight gain for two consecutive visits, hyperemesis gravidarium beyond the normal 20 week gestation period, and signs of depression or dieting during the pregnancy (Little & Lowkes, 2000). If the nurse suspects an eating disorder, ask direct questions, such as “Have you ever been diagnosed with and eating disorder?” If the woman replies affirmatively, the nurse may inquire whether she was treated and what the treatment modality was. The nurse can also ask questions about nutrition during pregnancy and the woman’ relationship with food to determine a possible eating disorder. The SCOFF questionnaire (Table 2) is a useful assessment instrument. In addition, other assessment question include
1. How do you feel about your baby size now and the changes that are happening to your body?
2. Does your weight affect the way you think about yourself?
3. How do you feel about gaining weight during pregnancy?
4. What is it like for you to get on the scale here at each visit?
5. Have you had issues with food and your weight in the past?
6. Does being around food make you feel stressed and overwhelmed?
7. Do you ever feel at ease with yourself?