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.".

Answer and Explanation

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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Correct Answer is A

Explanation

The correct answer is choice A. One hour.The nurse should check the newborn’s blood glucose level within one hour after birth because infants born to mothers with gestational diabetes are at risk of hypoglycemia due to hyperinsulinemia.Hypoglycemia can cause neurologic damage or death if left untreated.

Choice B is wrong because two hours is too long to wait for checking the blood glucose level of a newborn at risk of hypoglycemia.

Choice C is wrong because three hours is too long to wait for checking the blood glucose level of a newborn at risk of hypoglycemia.

Choice D is wrong because four hours is too long to wait for checking the blood glucose level of a newborn at risk of hypoglycemia.

Normal blood glucose levels for newborns are between 47 and 70 mg/dL.Mild hypoglycemia is defined as less than 47 mg/dL and severe hypoglycemia is defined as less than 36 mg/dL.

A. Pneumonia B. Meningitis C. Cholecystitis D. Thrush

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

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a newborn whose mother has gestational diabetes for signs of hypoglycemia. The nurse should check the newborn's blood glucose level within how many hours after birth?

Correct Answer is A

Explanation

A nurse is teaching a pregnant woman who has gestational diabetes about the possible complications of uncontrolled blood sugar levels. The nurse should explain that high blood sugar levels can increase the risk of which of the following infections?

Correct Answer is D

Explanation

A nurse is assessing a pregnant client's medical history. Which factor increases the client's risk of developing gestational diabetes?

A nurse is preparing to administer insulin to a pregnant woman who has gestational diabetes. Which of the following types of insulin should the nurse use?

A nurse is caring for a pregnant woman who has gestational diabetes and reports excessive sweating. The nurse should recognize that this symptom is most likely caused by which of the following factors?

A nurse is providing education to a pregnant woman who has gestational diabetes. The nurse should explain that the woman has a higher risk of developing which of the following conditions in the future?

A nurse is providing education to a pregnant client of Middle Eastern origin. The nurse explains that which factor increases the client's risk of developing gestational diabetes?

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 administering insulin to a pregnant woman who has gestational diabetes and is in labor. The nurse should monitor the woman's blood glucose levels every how often during labor?

A nurse is interpreting the results of a glucose tolerance test for a pregnant woman who was screened for gestational diabetes. The nurse should recognize that the woman has gestational diabetes if her blood glucose level is which of the following at 1 hour after drinking the sugary drink?

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?