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 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.
Correct Answer is C
Explanation
The correct answer is choice C. The woman should report any vaginal discharge or itching to her doctor, as these could be signs of a yeast infection, which is more common in women with diabetes.Yeast infections can cause irritation and discomfort, and may increase the risk of preterm labor or urinary tract infections
Choice A is wrong because checking blood glucose levels four times a day is recommended during pregnancy, not after delivery.After delivery, the woman may need to check her blood glucose levels less often, depending on her doctor’s advice
Choice B is wrong because 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 D is wrong because stopping insulin or oral medication after delivery can lead to uncontrolled blood glucose levels and complications.
The woman should follow her doctor’s instructions on how to adjust her medication after delivery.Some women may need to continue taking insulin or oral medication for a while, while others may be able to stop or switch to a different type of medication
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