A nurse is caring for a pregnant woman who has gestational diabetes and is of African-Caribbean origin.

The nurse should recognize that the woman's ethnicity is associated with which of the following characteristics?

Higher insulin resistance

Lower birth weight

Earlier onset of diabetes

Faster resolution of diabetes

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. Higher insulin resistance. According to a systematic review of gestational diabetes mellitus (GDM) in Africa, African-Caribbean women have higher insulin resistance than other ethnic groups, which increases their risk of developing GDM.

Insulin resistance is a condition where the body does not respond well to the hormone insulin, which regulates blood sugar levels.

Choice B is wrong because lower birth weight is not associated with GDM in African-Caribbean women. In fact, some studies have found that GDM increases the risk of macrosomia (large for gestational age infants) and higher mean birth weight.

Choice C is wrong because earlier onset of diabetes is not a characteristic of African-Caribbean women with GDM.

GDM is usually diagnosed in the second or third trimester of pregnancy, regardless of ethnicity. However, women with GDM have a higher risk of developing type 2 diabetes later in life.

Choice D is wrong because faster resolution of diabetes is not a characteristic of African-Caribbean women with GDM. Most women with GDM revert to normal glucose metabolism after delivery, but some may have persistent glucose intolerance or diabetes. The risk of developing type 2 diabetes after GDM is also higher for African-Caribbean women than other ethnic groups.

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Correct Answer is A

Explanation

The correct answer is choice A. Regular appointments allow for insulin therapy initiation if needed.This is because gestational diabetes is a condition in which women develop high blood sugar during pregnancy, which can cause complications for both the mother and the baby.Insulin is a hormone that helps lower blood sugar levels, and some women with gestational diabetes may need to take insulin injections to control their blood sugar.

Choice B is wrong because prenatal appointments do not help in diagnosing gestational diabetes.Gestational diabetes is usually diagnosed by a blood test that measures the glucose levels before and after meals.This test is typically done between 24 and 28 weeks of pregnancy.

Choice C is wrong because attending appointments does not ensure access to emotional support.Emotional support is important for pregnant women, especially those with gestational diabetes, but it can be provided by other sources such as family, friends, counselors or support groups.

Choice D is wrong because regular appointments do not allow for adjustment of insulin dosage.Insulin dosage is determined by the blood sugar levels of the woman, which she can monitor at home using a glucose meter.The doctor or midwife may adjust the insulin dosage based on the results of the blood tests and the feedback from the woman.

A. Monitor her blood glucose levels regularly and keep them within the target range B. Drink plenty of fluids and avoid caffeine and alcohol C. Take progesterone supplements as prescribed by her provider D. Perform pelvic floor exercises and avoid lifting heavy objects

Correct Answer is A

Explanation

The correct answer is choice A. Monitor her blood glucose levels regularly and keep them within the target range.This is because gestational diabetes can cause high blood sugar that can affect the pregnancy and the baby’s health.High blood sugar can increase the risk of premature birth and other complications.

By monitoring and controlling blood glucose levels, the woman can reduce these risks and have a healthier pregnancy.

Choice B is wrong because drinking plenty of fluids and avoiding caffeine and alcohol are general recommendations for pregnant women, but they do not specifically prevent preterm birth due to gestational diabetes.

Choice C is wrong because progesterone supplements are used to prevent preterm birth in women who have a history of spontaneous preterm birth or a short cervix, but they are not indicated for women with gestational diabetes.

Choice D is wrong because pelvic floor exercises and avoiding lifting heavy objects are also general recommendations for pregnant women, but they do not directly prevent preterm birth due to gestational diabetes.Pelvic floor exercises can help with urinary incontinence and pelvic organ prolapse, while avoiding lifting heavy objects can prevent back pain and injury.

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A nurse is caring for a pregnant woman who has gestational diabetes and is of African-Caribbean origin. The nurse should recognize that the woman's ethnicity is associated with which of the following characteristics?

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a client with gestational diabetes about the importance of attending regular prenatal appointments. Which of the following statements accurately reflects the rationale behind this recommendation?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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A nurse is caring for a pregnant woman who has gestational diabetes and is of African-Caribbean origin.

The nurse should recognize that the woman's ethnicity is associated with which of the following characteristics?