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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A. “I should check my blood glucose levels four times a day.” This statement indicates that the woman understands the importance of monitoring her blood glucose levels after delivery to detect any changes or abnormalities.Most women with gestational diabetes will not have severe hyperglycemia after delivery, but they should be followed for at least 6–12 weeks to determine their glucose status.
Normal blood glucose levels are between 70 and 130 mg/dL before meals and less than 180 mg/dL two hours after meals.
Choice B is wrong because “I should drink juice or soda if I feel thirsty.” This statement indicates that the woman does not understand how to manage symptoms of hyperglycemia after delivery.
Drinking juice or soda can raise blood glucose levels and worsen hyperglycemia.
The woman should drink water or sugar-free beverages if she feels thirsty.
Choice C is wrong because “I should report any vaginal discharge or itching to my doctor.” This statement indicates that the woman does not understand how to recognize symptoms of hyperglycemia after delivery.
Vaginal discharge or itching can be signs of a yeast infection, which can occur more frequently in women with diabetes, but they are not specific to hyperglycemia.
Symptoms of hyperglycemia include increased thirst, frequent urination, blurred vision, fatigue, and headache.
Choice D is wrong because “I should stop taking my insulin or oral medication after delivery.” This statement indicates that the woman does not understand how to manage her blood glucose levels after delivery.Although most women with gestational diabetes will have normal blood glucose levels after delivery, some may have persisting hyperglycemia that requires medical management.The woman should consult with her doctor before stopping any medication and follow the guidelines of the American Diabetes Association and other relevant organizations.
Correct Answer is C
Explanation
The correct answer is choice C.Being older than 25 years at the time of pregnancy is a risk factor for developing gestational diabetes.Gestational diabetes is a type of diabetes that can develop during pregnancy in women who don’t already have diabetes.It occurs when the body can’t make enough insulin during pregnancy.
Choice A is wrong because being underweight before pregnancy is not a risk factor for gestational diabetes.In fact, obesity is one of the biggest risk factors for this condition.
Choice B is wrong because having a history of infertility or miscarriage is not a risk factor for gestational diabetes.However, having a family history of diabetes is a risk factor.
Choice D is wrong because having a family history of autoimmune disease is not a risk factor for gestational diabetes.Autoimmune diseases are conditions where the immune system attacks the body’s own tissues, such as type 1 diabetes or rheumatoid arthritis.Gestational diabetes is not an autoimmune disease, but rather a disorder of insulin resistance and secretion.
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