A nurse is assessing a pregnant client's medical history.
Which factor increases the client's risk of developing gestational diabetes?
Having a previous baby with low birth weight
Being of Caucasian origin
No family history of diabetes
No history of endocrine disorders
The Correct Answer is D
The correct answer is choice D.
No history of endocrine disorders. This factor increases the client’s risk of developing gestational diabetes because endocrine disorders such as thyroid disease or polycystic ovary syndrome can affect insulin resistance and glucose metabolism.
Choice A is wrong because having a previous baby with low birth weight is not a risk factor for gestational diabetes. In fact, having a previous baby with high birth weight (> 9 pounds) is a risk factor.
Choice B is wrong because being of Caucasian origin is not a risk factor for gestational diabetes. In fact, being of non-Caucasian origin such as African American, Hispanic, Native American, Asian American, or Pacific Islander is a risk factor.
Choice C is wrong because having no family history of diabetes is not a risk factor for gestational diabetes. In fact, having a family history of diabetes (especially type 2 diabetes) in a first-degree relative (parent or sibling) is a risk factor.
Some other risk factors for gestational diabetes include being older than 25 years, being overweight or obese, having prediabetes or impaired glucose tolerance, having a history of gestational diabetes in a previous pregnancy, having hypertension or preeclampsia, or having polycystic ovary syndrome.
Normal ranges for fasting plasma glucose are 60 to 99 mg/dL for nonpregnant women and 70 to 95 mg/dL for pregnant women. Normal ranges for oral glucose tolerance test are less than 140 mg/dL at 1 hour and less than 120 mg/dL at 2 hours for nonpregnant women and less than 180 mg/dL at 1 hour and less than 155 mg/dL at 2 hours for pregnant women.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B. Preeclampsia.Gestational diabetes increases the risk of high blood pressure and preeclampsia, a serious complication of pregnancy that causes high blood pressure and other symptoms that can threaten both the mother’s and the baby’s life.
Choice A is wrong because preterm labor is not directly caused by gestational diabetes, although it may be done to prevent complications from preeclampsia or a large baby.
Choice C is wrong because ectopic pregnancy is not related to gestational diabetes.Ectopic pregnancy occurs when the fertilized egg implants outside the uterus, usually in the fallopian tube.
Choice D is wrong because placenta previa is not associated with gestational diabetes.Placenta previa occurs when the placenta covers part or all of the opening of the cervix.
Correct Answer is D
Explanation
The correct answer is choice D. “I should have my baby weighed at every prenatal visit.” This statement indicates a need for further teaching because having the baby weighed at every prenatal visit is not a way to prevent or detect gestational diabetes.Gestational diabetes is a condition in which women develop high blood sugar during pregnancy due to hormonal changes and insufficient insulin production.It can cause complications for the mother and the baby, such as high blood pressure, heavy birth weight, premature delivery, low blood sugar and future diabetes.
Choice A is wrong because losing weight before getting pregnant if one has a high BMI is a good way to reduce the risk of gestational diabetes.Obesity is one of the biggest risk factors for developing gestational diabetes, as it affects the body’s ability to use insulin effectively.
Choice B is wrong because telling the doctor if one has a family history of diabetes is also a good way to reduce the risk of gestational diabetes.Having a parent or sibling with diabetes increases the likelihood of developing gestational diabetes, as it may indicate a genetic predisposition to insulin resistance.
Choice C is wrong because avoiding getting pregnant after 40 years old is another good way to reduce the risk of gestational diabetes.Maternal age is one of the most important independent risk factors for gestational diabetes, as older women tend to have more insulin resistance and less beta-cell function than younger women.
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