big meal looks pregnant
My guess is that the typist wanted some pointers on distinguishing between someone who looks pregnant (perhaps from a big meal) and someone who is pregnant with a baby. In the early stages of pregnancy, appearances can be deceiving. Rule of thumb, however, is that if you're not sure that someone is pregnant do not say anything. Do not. The pregnant person has to be well past the "big meal" stage before it's appropriate to acknowledge the pregnancy.