A nurse is conducting a prenatal class for women who have gestational diabetes.

The nurse should inform the women that having gestational diabetes increases their risk of having which of the following complications during pregnancy?

The correct answer is choice B. Drink water only for 8 hours before the test.This is because the test measures how your body responds to sugar (glucose) and drinking water will not affect your blood sugar levels.The test involves drinking a sugary drink and having your blood drawn before and after to check how your body handles the glucose.

Choice A is wrong because eating a high-carbohydrate meal the night before will raise your blood sugar levels and may interfere with the test results.

Choice C is wrong because caffeine and smoking can also affect your blood sugar levels and should be avoided before the test.

Choice D is wrong because some medications can affect your blood sugar levels and should be discussed with your doctor before the test.

The normal range for blood sugar levels during the glucose tolerance test is below 140 mg/dL (7.8 mmol/L) at one hour after drinking the sugary drink.If your level is higher than that, you may have gestational diabetes and need further testing.Gestational diabetes is a condition that develops during pregnancy and can cause problems for you and your baby if not well managed.

The correct answer is choice D. All of the above.

The nurse should tell the woman to wash her hands with soap and water before testing, prick the side of her fingertip with a lancet, and apply gentle pressure to the puncture site until a drop of blood forms.These steps are necessary to ensure accurate and safe blood glucose monitoring at home.

Choice A is wrong because washing hands with soap and water is not enough.The woman should also dry her hands thoroughly before testing.

Choice B is wrong because pricking the side of the fingertip is not enough.The woman should also rotate the puncture sites to avoid soreness and infection.

Choice C is wrong because applying gentle pressure to the puncture site is not enough.The woman should also dispose of the lancet and the test strip properly and record the blood glucose result.

Normal blood glucose ranges for pregnant women with gestational diabetes are 95 mg/dL or less before meals, 140 mg/dL or less 1 hour after meals, and 120 mg/dL or less 2 hours after meals.