A nurse is assessing a pregnant woman who has gestational diabetes for possible complications.
The nurse should monitor the woman for which of the following signs and symptoms?
Polyuria, polydipsia, and polyphagia
Hypotension, bradycardia, and bradypnea
Nausea, vomiting, and abdominal pain.
Headache, blurred vision, and drowsiness.
The Correct Answer is A
The correct answer is
A. Polyuria, polydipsia, and polyphagia.
These are the classic signs and symptoms of diabetes, which occur due to high blood sugar levels. Gestational diabetes is a type of diabetes that develops during pregnancy and can affect the health of the mother and the baby.
B. Hypotension, bradycardia, and bradypnea.
Statement is wrong because these are signs of low blood pressure, low heart rate, and low breathing rate, which are not related to gestational diabetes.
C. Nausea, vomiting, and abdominal pain.
Statement is wrong because these are signs of ketoacidosis, a serious complication of diabetes that occurs when the body breaks down fat for energy and produces ketones. Ketoacidosis is rare in gestational diabetes and usually affects people with type 1 diabetes.
D. Headache, blurred vision, and drowsiness.
Statement is wrong because these are signs of hyperglycemia (high blood sugar) or hypertensive disorders (high blood pressure), which can occur in gestational diabetes but are not specific to it. They can also be caused by other conditions such as dehydration, infection, or preeclampsia.
Normal ranges for blood sugar levels during pregnancy are:
• Before meals: 3.5 to 5.9 mmol/L (63 to 106 mg/dL)
• One hour after meals: 7.8 mmol/L (140 mg/dL) or less
• Two hours after meals: 6.4 mmol/L (115 mg/dL) or less
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A. Breastfeed your baby for at least six months.According to the CDC, breastfeeding can lower the risk of type 2 diabetes for both mothers and babies.
Breastfeeding can also help mothers lose weight after delivery and improve blood sugar control.
Choice B is wrong because oral antidiabetic drugs are not recommended for women with gestational diabetes.
Instead, they should monitor their blood glucose levels and follow a healthy eating plan and physical activity routine.If these measures are not enough, they may need insulin injections.
Choice C is wrong because having blood glucose levels checked every six months is not enough to prevent type 2 diabetes after delivery.Women with gestational diabetes should have their blood glucose tested 6 to 12 weeks after their baby is born and then every 1 to 3 years to make sure their levels are on target.
Choice D is wrong because following a low-protein, high-fat diet is not a good way to prevent type 2 diabetes after delivery.
A high-fat diet can increase the risk of obesity, heart disease, and insulin resistance.Women with gestational diabetes should follow a balanced diet that includes lean protein, healthy fats, whole grains, fruits, and vegetables.
Correct Answer is B
Explanation
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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