A nurse is counseling a pregnant woman who has gestational diabetes and wants to know how to prevent type 2 diabetes after delivery.
Which of the following recommendations should the nurse give?
Breastfeed your baby for at least six months
Take oral antidiabetic drugs as prescribed
Have your blood glucose levels checked every six months.
Follow a low-protein, high-fat diet
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
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 a clean and adequate blood sample for the glucose meter.
Choice A is wrong because washing hands with soap and water is not enough.The woman should also dry her hands thoroughly to avoid diluting the blood sample.
Choice B is wrong because pricking the side of the fingertip with a lancet is not enough.The woman should also avoid squeezing the finger too hard, as this can affect the accuracy of the result.
Choice C is wrong because applying gentle pressure to the puncture site until a drop of blood forms is not enough.The woman should also wipe away the first drop of blood with a clean tissue and use the second drop for testing.
Normal ranges for blood glucose levels during pregnancy are 60 to 105 mg/dL before meals and less than 120 mg/dL one hour after meals.
The woman should report any abnormal readings to her health care provider.
Correct Answer is B
Explanation
The correct answer is choice B. Preeclampsia.Gestational diabetes increases the risk of developing preeclampsia, a condition characterized by high blood pressure and protein in the urine that can lead to serious complications for the mother and the baby.
Choice A is wrong because anemia is not a common complication of gestational diabetes.
Anemia is a condition where the red blood cells are low or abnormal, causing fatigue, weakness and pale skin.
Choice C is wrong because placenta previa is not related to gestational diabetes.
Placenta previa is a condition where the placenta covers part or all of the opening of the cervix, causing bleeding and possible premature delivery.
Choice D is wrong because preterm labor is not directly caused by gestational diabetes.
Preterm labor is when contractions start before 37 weeks of pregnancy, which can result in a premature birth.However, gestational diabetes can increase the risk of other conditions that can lead to preterm labor, such as polyhydramnios (excess amniotic fluid) or macrosomia (large baby).
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