A client with gestational diabetes asks the nurse about the preferred medication for controlling blood sugar levels.

The nurse explains that the preferred medication is chosen because it does not cross the placenta and affect the baby.

Which medication is the nurse referring to?

Insulin injections

Metformin

Glyburide

Oral corticosteroids

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. Insulin injections. Insulin is the preferred medication for controlling blood sugar levels in gestational diabetes because it does not cross the placenta and affect the baby. Insulin lowers blood glucose by stimulating glucose uptake in muscle and fat cells and inhibiting glucose production in the liver.

Choice B. Metformin is wrong because metformin is an oral antidiabetic drug that can cross the placenta and may have unknown effects on the baby. Metformin works by decreasing glucose production in the liver and increasing insulin sensitivity in muscle and fat cells.

Choice C. Glyburide is wrong because glyburide is another oral antidiabetic drug that can cross the placenta and may cause hypoglycemia or other adverse effects in the baby. Glyburide works by stimulating insulin secretion from the pancreas and increasing insulin sensitivity in peripheral tissues.

Choice D. Oral corticosteroids are wrong because oral corticosteroids are not used to treat gestational diabetes, but rather to accelerate fetal lung maturation in preterm labor. Oral corticosteroids can actually increase blood glucose levels by stimulating gluconeogenesis and decreasing insulin sensitivity.

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Correct Answer is D

Explanation

The correct answer is choice D.Exercise can help the woman by enhancing her insulin sensitivity and glucose utilization.

This means that her body can use the glucose in her blood more efficiently and lower her blood sugar levels.Exercise can also help prevent excess weight gain, which is a risk factor for gestational diabetes.

Choice A is wrong because exercise does not increase appetite and caloric intake, but rather helps regulate them.

Choice B is wrong because exercise does not lower blood pressure and heart rate, but rather increases them temporarily during physical activity.Choice C is wrong because exercise does not reduce the risk of preterm labor and delivery, but rather may increase it if done excessively or without proper supervision.

A. 1800 calories B. 2000 calories C. 2200 calories D. 2400 calories

Correct Answer is D

Explanation

The correct answer is choice D. 2400 calories.A pregnant woman with gestational diabetes should consume about 2400 calories per day during the third trimester of pregnancy.This is based on the average energy requirement for a pregnant woman, which is about 2200 calories per day plus 200 calories for the baby’s growth.

A woman who is overweight before pregnancy may need fewer calories than this.

Choice A. 1800 calories is wrong because it is too low for a pregnant woman with gestational diabetes.Eating too few calories can cause ketones to build up in the blood, which can harm the baby.

Choice B. 2000 calories is wrong because it is also too low for a pregnant woman with gestational diabetes.It may not provide enough energy and nutrients for the mother and the baby.

Choice C. 2200 calories is wrong because it is the average energy requirement for a pregnant woman without gestational diabetes.A woman with gestational diabetes needs an extra 200 calories per day to support the baby’s growth and development.

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A client with gestational diabetes asks the nurse about the preferred medication for controlling blood sugar levels. The nurse explains that the preferred medication is chosen because it does not cross the placenta and affect the baby. Which medication is the nurse referring to?

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a pregnant woman who has gestational diabetes about the benefits of exercise during pregnancy. The nurse should explain that exercise can help the woman by doing which of the following?

Correct Answer is D

Explanation

A nurse is providing dietary education to a pregnant woman who has gestational diabetes. The nurse should advise the woman to consume how many calories per day during the third trimester of pregnancy?

Correct Answer is D

Explanation

A client with gestational diabetes asks the nurse about the preferred medication for controlling blood sugar levels. The nurse explains that the preferred medication is chosen because it does not cross the placenta and affect the baby. Which medication is the nurse referring to?

A nurse is discussing the use of medication for gestational diabetes with a client. Which statement accurately describes the use of oral antidiabetic drugs such as metformin or glyburide?

A nurse is teaching a client with gestational diabetes about the importance of regular antenatal visits. Which of the following is a primary reason for these visits?

A client with gestational diabetes asks the nurse about the preferred medication for controlling blood sugar levels.

The nurse explains that the preferred medication is chosen because it does not cross the placenta and affect the baby.

Which medication is the nurse referring to?