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.Being 35 years old is a risk factor for gestational diabetes because the risk increases with age.

Choice B is wrong because having a BMI of 28 is not considered obese, which is a risk factor for gestational diabetes.Obesity is usually defined as having a BMI of 30 or higher.

Choice C is wrong because having a previous baby who weighed 3.5 kg (7.7 lb) at birth is not a risk factor for gestational diabetes.A risk factor is having a previous baby who weighed more than 4 kg (9 lb) at birth.

Choice D is wrong because having a history of PCOS (polycystic ovary syndrome) is not a risk factor for gestational diabetes.PCOS is a condition that affects the ovaries and hormones, but it does not directly cause gestational diabetes.

A. Fried chicken and French fries B. Processed deli meats and white bread C. Grilled salmon and quinoa D. Sugary cereal and whole milk

Correct Answer is C

Explanation

The correct answer is choice C. Grilled salmon and quinoa.

This food choice provides a good balance of protein, healthy fats, and complex carbohydrates that can help regulate blood glucose levels for a client with gestational diabetes.

Choice A is wrong because fried chicken and French fries are high in saturated fat and simple carbohydrates that can raise blood glucose levels and increase the risk of cardiovascular complications.

Choice B is wrong because processed deli meats and white bread are high in sodium, nitrates, and refined flour that can also increase blood glucose levels and blood pressure.

Choice D is wrong because sugary cereal and whole milk are high in sugar and lactose that can spike blood glucose levels and cause digestive issues.

A client with gestational diabetes should follow a balanced meal plan that includes lean protein, healthy fats, fiber, and complex carbohydrates that are low on the glycemic index.

The client should also limit intake of simple sugars, refined grains, fried foods, and processed meats.The client should monitor blood glucose levels regularly and consult with a dietitian for individualized recommendations.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a pregnant woman for risk factors for gestational diabetes. Which of the following factors should the nurse identify as increasing the woman's risk?

Correct Answer is A

Explanation

A nurse is discussing dietary modifications with a client with gestational diabetes. Which of the following food choices should the nurse recommend as part of a balanced meal plan?

Correct Answer is C

Explanation

A nurse is reviewing the laboratory results of a pregnant woman who has gestational diabetes and is experiencing symptoms of hyperglycemia. The nurse expects to find which of the following findings?

A nurse is assessing a newborn whose mother has gestational diabetes for signs of hypoglycemia. The nurse should check the newborn's blood glucose level within how many hours after birth?

A nurse is evaluating the outcomes of care for a pregnant woman who has gestational diabetes and received insulin therapy during pregnancy. Which of the following findings indicates that the insulin therapy was effective?

A nurse is evaluating the blood glucose levels of a pregnant woman who has gestational diabetes after a meal. The nurse notes that the woman has a blood glucose level of 200 mg/dL. Which of the following actions should the nurse take?

A nurse is evaluating the effectiveness of nursing interventions for a pregnant woman who has gestational diabetes and received nutritional therapy and exercise counseling during pregnancy. Which of the following outcomes indicates that the interventions were successful?

A nurse is instructing a pregnant woman who has gestational diabetes on how to use a glucose meter to monitor her blood sugar levels at home. The nurse should tell the woman to do which of the following?

A nurse is teaching a group of pregnant women about risk factors for gestational diabetes. Which of the following statements by one of the women indicates a need for further teaching?

In gestational diabetes, the condition primarily affects the?

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?