A client with gestational diabetes asks the nurse about the recommended types of exercise during pregnancy.
Which of the following responses by the nurse is correct?
"Engaging in high-intensity exercises such as weightlifting is beneficial for blood glucose control.".
"Walking, swimming, or prenatal yoga are moderate-intensity exercises that can improve insulin sensitivity.".
"Avoiding physical activity altogether is recommended to prevent complications.".
"Only strenuous exercises such as running are effective in managing blood sugar levels.".
The Correct Answer is B
The correct answer is choice B. Walking, swimming, or prenatal yoga are moderate-intensity exercises that can improve insulin sensitivity.
This means that the body can use insulin more effectively to lower blood glucose levels. Exercise also has other benefits for pregnant women with gestational diabetes, such as reducing the risk of hypertension, preeclampsia, and macrosomia.
Choice A is wrong because engaging in high-intensity exercises such as weightlifting is not recommended for pregnant women with gestational diabetes. High-intensity exercises can increase blood pressure and stress hormones, which can raise blood glucose levels and cause complications.
Choice C is wrong because avoiding physical activity altogether is not recommended for pregnant women with gestational diabetes. Physical activity can help control blood glucose levels and prevent excessive weight gain, which can lead to adverse outcomes for both the mother and the baby.
Choice D is wrong because only strenuous exercises such as running are not effective in managing blood sugar levels. Strenuous exercises can also increase blood pressure and stress hormones, which can have negative effects on blood glucose levels and fetal well-being. Moderate-intensity exercises are preferred over strenuous exercises for pregnant women with gestational diabetes.
Normal ranges for blood glucose levels during pregnancy are 60 to 100 mg/dL before meals and bedtime snacks, and less than 140 mg/dL one hour after meals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D. Thrush.
Thrush is a fungal infection that can affect the mouth, skin, or genitals.
It is more common in people with diabetes, especially if their blood sugar levels are not well controlled.High blood sugar levels can weaken the immune system and make it harder to fight off infections.
Choice A is wrong because pneumonia is a bacterial or viral infection of the lungs.It is not directly related to gestational diabetes, although having diabetes may increase the risk of respiratory infections in general.
Choice B is wrong because meningitis is an inflammation of the membranes that cover the brain and spinal cord.
It can be caused by bacteria, viruses, fungi, or other organisms.Gestational diabetes does not increase the risk of meningitis.
Choice C is wrong because cholecystitis is an inflammation of the gallbladder.
It can be caused by gallstones, infections, or other factors.Gestational diabetes does not increase the risk of cholecystitis.
Normal ranges for blood sugar levels during pregnancy are:
• Before meals: 3.5 to 5.9 mmol/L
• One hour after meals: 7.8 mmol/L or lower
• Two hours after meals: 6.4 mmol/L or lower
Correct Answer is D
Explanation
The correct answer is choice D. Lispro insulin.
Lispro insulin is a rapid-acting insulin that can be injected 15 minutes before a meal to lower blood sugar.It is safe and effective for pregnant women with gestational diabetes.
Choice A is wrong because regular insulin is a short-acting insulin that needs to be injected 30 minutes before a meal.It may not provide enough control over blood sugar levels during pregnancy.
Choice B is wrong because NPH insulin is an intermediate-acting insulin that has a peak effect several hours after injection.It may cause low blood sugar (hypoglycemia) or high blood sugar (hyperglycemia) if not timed correctly with meals and snacks.
Choice C is wrong because glargine insulin is a long-acting insulin that provides a steady level of insulin throughout the day.
It cannot be mixed with other types of insulin
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