A client with a body mass index (BMI) of 32 asks the nurse about the potential risks during pregnancy.

The nurse explains that an elevated BMI increases the risk of developing:.

Preterm labor

Ectopic pregnancy.

Gestational hypertension

Gestational diabetes

Answer and Explanation

The Correct Answer is D

The correct answer is choice D. Gestational diabetes.

Gestational diabetes is a condition in which a woman without diabetes develops high blood sugar levels during pregnancy.

It can cause complications for both the mother and the baby, such as preeclampsia, macrosomia, and neonatal hypoglycemia. An elevated BMI increases the risk of developing gestational diabetes because excess body fat can impair insulin sensitivity and secretion.

Choice A is wrong because preterm labor is not directly related to BMI, but rather to other factors such as infections, cervical insufficiency, or multiple gestation.

Choice B is wrong because ectopic pregnancy is not associated with BMI, but rather with pelvic inflammatory disease, tubal surgery, or previous ectopic pregnancy.

Choice C is wrong because gestational hypertension is not caused by BMI alone, but rather by genetic factors, chronic hypertension, or renal disease.

Normal ranges for BMI are 18.5-24.9 kg/m2 for normal weight, 25.0-29.9 kg/m2 for overweight, and 30.0 kg/m2 or higher for obesity.

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Correct Answer is B

Explanation

The correct answer is choice B. Drink water only for 8 hours before the test.This is because the test measures how your body responds to sugar (glucose) and drinking water will not affect your blood sugar levels.The test involves drinking a sugary drink and having your blood drawn before and after to check how your body handles the glucose.

Choice A is wrong because eating a high-carbohydrate meal the night before will raise your blood sugar levels and may interfere with the test results.

Choice C is wrong because caffeine and smoking can also affect your blood sugar levels and should be avoided before the test.

Choice D is wrong because some medications can affect your blood sugar levels and should be discussed with your doctor before the test.

The normal range for blood sugar levels during the glucose tolerance test is below 140 mg/dL (7.8 mmol/L) at one hour after drinking the sugary drink.If your level is higher than that, you may have gestational diabetes and need further testing.Gestational diabetes is a condition that develops during pregnancy and can cause problems for you and your baby if not well managed.

A. Type 1 diabetes B. Type 2 diabetes C. Prediabetes D. Metabolic syndrome

Correct Answer is B

Explanation

The correct answer is choice B. Type 2 diabetes.This test is done to check if the woman has developed type 2 diabetes after having gestational diabetes during pregnancy.Gestational diabetes is a condition in which women develop high blood sugar during pregnancy.It usually goes away after delivery, but it increases the risk of developing type 2 diabetes later in life.Type 2 diabetes is a chronic condition that affects how the body uses glucose, a type of sugar that is the main source of energy for the cells.

Choice A is wrong because type 1 diabetes is an autoimmune condition that usually develops in childhood or young adulthood and requires insulin injections for life.

It is not caused by gestational diabetes.

Choice C is wrong because prediabetes is a condition in which blood sugar levels are higher than normal but not high enough to be diagnosed as diabetes.

It is a risk factor for developing type 2 diabetes, but it is not the same as having diabetes.

Choice D is wrong because metabolic syndrome is a cluster of conditions that increase the risk of heart disease, stroke and type 2 diabetes.These conditions include high blood pressure, high blood sugar, excess body fat around the waist and abnormal cholesterol levels.

Metabolic syndrome can be diagnosed by measuring these factors, not by a glucose tolerance test.

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A client with a body mass index (BMI) of 32 asks the nurse about the potential risks during pregnancy. The nurse explains that an elevated BMI increases the risk of developing:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a pregnant woman for a glucose tolerance test to screen for gestational diabetes. The nurse should instruct the woman to do which of the following before the test?

Correct Answer is B

Explanation

A nurse is caring for a pregnant woman who has gestational diabetes and is scheduled for a follow-up glucose tolerance test six weeks after delivery. The nurse should inform the woman that this test is done to check for which of the following conditions?

Correct Answer is B

Explanation

A nurse is instructing a pregnant woman who has gestational diabetes on how to use a glucose meter to monitor her blood sugar levels at home. The nurse should tell the woman to do which of the following?

A nurse is evaluating the blood glucose levels of a pregnant woman who has gestational diabetes after a glucose tolerance test. Which of the following results indicates that the woman has impaired glucose tolerance?

A nurse is providing dietary education to a pregnant woman who has gestational diabetes. The nurse should advise the woman to consume which of the following types of carbohydrates to help control her blood glucose levels?

A client with a history of impaired glucose tolerance asks the nurse about the potential impact on her current pregnancy. The nurse explains that impaired glucose tolerance increases the risk of developing:.

A nurse is evaluating the effectiveness of nursing interventions for a pregnant woman who has gestational diabetes and received nutritional therapy and exercise counseling during pregnancy. Which of the following outcomes indicates that the interventions were successful?

A nurse is caring for a pregnant woman who has gestational diabetes and is in labor. The nurse should monitor the woman for which of the following complications that can result from uncontrolled blood sugar levels?

A nurse is teaching a pregnant woman who has gestational diabetes about how to recognize and manage symptoms of hyperglycemia after delivery. Which of the following statements by the woman indicates an understanding of the teaching?

A nurse is evaluating the blood glucose levels of a pregnant woman who has gestational diabetes after a meal. The nurse notes that the woman has a blood glucose level of 200 mg/dL. Which of the following actions should the nurse take?

A client with a body mass index (BMI) of 32 asks the nurse about the potential risks during pregnancy.

The nurse explains that an elevated BMI increases the risk of developing:.