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 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 sugar levels regularly to manage gestational diabetes and prevent complications for herself and her baby.
Choice B is wrong because drinking juice or soda can increase blood sugar levels and worsen hyperglycemia.Instead, the woman should drink water or sugar-free beverages if she feels thirsty.
Choice C is wrong because vaginal discharge or itching are not symptoms of hyperglycemia, but of a possible yeast infection, which can be more common in women with diabetes.The woman should report any signs of infection to her doctor, but this is not related to managing hyperglycemia.
Choice D is wrong because stopping insulin or oral medication after delivery can cause blood sugar levels to rise and increase the risk of developing type 2 diabetes in the future.The woman should follow her doctor’s advice on when and how to stop taking medication for gestational diabetes.
Correct Answer is C
Explanation
The correct answer is choice C. Elevated urine specific gravity.
This is because hyperglycemia causes osmotic diuresis, which increases the concentration of solutes in the urine.
Urine specific gravity is a measure of the density of urine compared to water and reflects the amount of solutes in the urine.A normal range for urine specific gravity is 1.005 to 1.030.
Choice A is wrong because elevated serum ketones are a sign of ketoacidosis, which is a complication of diabetes mellitus type 1, not gestational diabetes.Ketoacidosis occurs when the body breaks down fat for energy due to insufficient insulin and produces ketones, which are acidic byproducts that can lower the blood pH.
Choice B is wrong because decreased serum osmolality indicates dilution of the blood, which can be caused by excessive fluid intake, diuretic use, or syndrome of inappropriate antidiuretic hormone (SIADH).
Serum osmolality is a measure of the concentration of solutes in the blood and reflects the balance between water and electrolytes.A normal range for serum osmolality is 275 to 295 mOsm/kg.
Choice D is wrong because decreased blood pH indicates acidosis, which can be caused by ketoacidosis, lactic acidosis, renal failure, or respiratory failure.
Blood pH is a measure of the acidity or alkalinity of the blood and reflects the balance between carbon dioxide and bicarbonate.A normal range for blood pH is 7.35 to 7.45.
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