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.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
The correct answer is choice C. Perform a glucose tolerance test.
A fasting blood glucose level of 100 mg/dL is considered borderline for gestational diabetes and indicates the need for further testing.
A glucose tolerance test measures how the body responds to a glucose load and can diagnose gestational diabetes.
Choice A is wrong because a fasting blood glucose level of 100 mg/dL is not normal for a pregnant woman and does not rule out gestational diabetes.
Choice B is wrong because repeating the test in one week will not provide any additional information and may delay the diagnosis and treatment of gestational diabetes.
Choice D is wrong because insulin is not prescribed unless the woman has confirmed gestational diabetes and fails to control her blood glucose levels with diet and exercise.
The normal range for fasting blood glucose in pregnancy is 70 to 95 mg/dL.
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