A nurse is caring for a newborn whose mother has gestational diabetes.

The nurse should monitor the newborn for which of the following complications?

The correct answer is choice D. Previous history of gestational diabetes.This is because having gestational diabetes in a previous pregnancy increases the risk of developing it again in a subsequent pregnancy.According to the CDC, about 50% of women with gestational diabetes go on to develop type 2 diabetes later in life.

Choice A is wrong because advanced maternal age is not a primary risk factor for gestational diabetes, although it may increase the risk slightly.

Choice B is wrong because family history of diabetes is not a primary risk factor for gestational diabetes, although it may indicate a genetic predisposition to insulin resistance.

Choice C is wrong because smoking during pregnancy is not a primary risk factor for gestational diabetes, although it may have other adverse effects on the mother and the baby.

Some of the other risk factors for gestational diabetes include obesity, hormonal changes, polycystic ovary syndrome, and pregnancy over 30 years of age.Gestational diabetes can cause complications such as high blood pressure, preeclampsia, large birth weight, premature delivery, respiratory distress syndrome, and low blood sugar in the baby.Gestational diabetes can be managed with a healthy diet, exercise, and medication if needed.

The correct answer is choice D. Teach the woman how to check her blood glucose levels at home.This is because gestational diabetes is a condition where the blood glucose levels are higher than normal during pregnancy, and it can affect the health of the mother and the baby.By checking her blood glucose levels at home, the woman can monitor her condition and adjust her treatment accordingly.

Choice A is wrong because increasing the intake of complex carbohydrates can raise the blood glucose levels and worsen gestational diabetes.Instead, the woman should follow a healthy eating plan that balances carbohydrates with protein and fat.

Choice B is wrong because blood pressure and urine protein levels are not directly related to gestational diabetes.They are more relevant for preeclampsia, a different complication of pregnancy that involves high blood pressure and kidney damage.

Choice C is wrong because limiting physical activity during pregnancy can increase the risk of gestational diabetes and other problems.Physical activity can help lower blood glucose levels, improve blood pressure and cholesterol levels, relieve stress, and prevent excessive weight gain.The woman should aim for 30 minutes of moderate activity at least 5 days a week, unless her doctor advises otherwise.