A client with gestational diabetes asks the nurse about the role of exercise in managing blood sugar levels.

The nurse explains that exercise can help lower blood sugar levels and improve insulin sensitivity.

How many minutes of moderate physical activity per day is recommended for this client, unless advised otherwise by a healthcare provider?

The correct answer is choice A. To monitor the progress of pregnancy and check for any complications.This is the primary reason for regular antenatal visits for women with gestational diabetes, as they are at increased risk of developing hypertension, preeclampsia, polyhydramnios, and fetal macrosomia.These visits also allow the health care provider to monitor the blood glucose levels and adjust the treatment plan accordingly.

Choice B is wrong because insulin injections are not always required for women with gestational diabetes.Some women can manage their blood sugar levels with dietary modifications and exercise alone.

Choice C is wrong because ultrasound scans are not the primary reason for antenatal visits, although they may be performed more frequently for women with gestational diabetes to assess the fetal growth and well-being.

Choice D is wrong because education on dietary modifications during pregnancy is not the primary reason for antenatal visits, although it is an important component of the management of gestational diabetes.Women with gestational diabetes should receive individualized nutrition counseling from a registered dietitian or a certified diabetes educator.

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.