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

Answer and Explanation

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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Correct Answer is D

Explanation

The correct answer is choice D. “I should have my baby weighed at every prenatal visit.” This statement indicates a need for further teaching because having the baby weighed at every prenatal visit is not a way to prevent or detect gestational diabetes.Gestational diabetes is a condition in which women develop high blood sugar during pregnancy due to hormonal changes and insufficient insulin production.It can cause complications for the mother and the baby, such as high blood pressure, heavy birth weight, premature delivery, low blood sugar and future diabetes.

Choice A is wrong because losing weight before getting pregnant if one has a high BMI is a good way to reduce the risk of gestational diabetes.Obesity is one of the biggest risk factors for developing gestational diabetes, as it affects the body’s ability to use insulin effectively.

Choice B is wrong because telling the doctor if one has a family history of diabetes is also a good way to reduce the risk of gestational diabetes.Having a parent or sibling with diabetes increases the likelihood of developing gestational diabetes, as it may indicate a genetic predisposition to insulin resistance.

Choice C is wrong because avoiding getting pregnant after 40 years old is another good way to reduce the risk of gestational diabetes.Maternal age is one of the most important independent risk factors for gestational diabetes, as older women tend to have more insulin resistance and less beta-cell function than younger women.

A. Being of African-Caribbean origin B. Normal body mass index (BMI). C. No family history of diabetes D. No history of endocrine disorder

Correct Answer is D

Explanation

The correct answer is choice D. No history of endocrine disorder.This is because having a history of endocrine disorder, such as thyroid disease or polycystic ovary syndrome, can increase the risk of developing gestational diabetes.

Choice A is wrong because being of African-Caribbean origin is not a risk factor for gestational diabetes.The ethnic groups that have higher risk include Asian, Hispanic, Native American, and Pacific Islander.

Choice B is wrong because normal body mass index (BMI) is not a risk factor for gestational diabetes.On the contrary, having a high BMI (over 30) before pregnancy or gaining too much weight during pregnancy can increase the risk of gestational diabetes.

Choice C is wrong because no family history of diabetes is not a risk factor for gestational diabetes.Having a family history of diabetes, especially in a first-degree relative (such as a parent or sibling), can increase the risk of gestational diabetes.

Normal ranges for blood glucose levels during pregnancy are:

• Fasting: less than 95 mg/dL

• One hour after meal: less than 140 mg/dL

• Two hours after meal: less than 120 mg/dL

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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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?