This learning activity provides nurses with evidence-based knowledge and practical interventions for managing pregnancies complicated by maternal obesity. Covering physiologic changes, increased risks for gestational diabetes and cesarean delivery, and fetal complications, the learning activity emphasizes culturally competent, non-stigmatizing care approaches. The content integrates current clinical guidelines to prepare nurses for comprehensive assessment, nutritional counseling, and interdisciplinary collaboration essential for optimizing maternal and fetal outcomes throughout the childbearing continuum.