A nurse is discussing dietary modifications with a client with gestational diabetes.

Which of the following food choices should the nurse recommend as part of a balanced meal plan?

Fried chicken and French fries

Processed deli meats and white bread

Grilled salmon and quinoa

Sugary cereal and whole milk

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. Grilled salmon and quinoa.

This food choice provides a good balance of protein, healthy fats, and complex carbohydrates that can help regulate blood glucose levels for a client with gestational diabetes.

Choice A is wrong because fried chicken and French fries are high in saturated fat and simple carbohydrates that can raise blood glucose levels and increase the risk of cardiovascular complications.

Choice B is wrong because processed deli meats and white bread are high in sodium, nitrates, and refined flour that can also increase blood glucose levels and blood pressure.

Choice D is wrong because sugary cereal and whole milk are high in sugar and lactose that can spike blood glucose levels and cause digestive issues.

A client with gestational diabetes should follow a balanced meal plan that includes lean protein, healthy fats, fiber, and complex carbohydrates that are low on the glycemic index.

The client should also limit intake of simple sugars, refined grains, fried foods, and processed meats. The client should monitor blood glucose levels regularly and consult with a dietitian for individualized recommendations.

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Correct Answer is A

Explanation

The correct answer is choice D. Previous history of gestational diabetes.This is because having gestational diabetes in a previous pregnancy increases the risk of developing it again in a subsequent pregnancy.According to the CDC, about 50% of women with gestational diabetes go on to develop type 2 diabetes later in life.

Choice A is wrong because advanced maternal age is not a primary risk factor for gestational diabetes, although it may increase the risk slightly.

Choice B is wrong because family history of diabetes is not a primary risk factor for gestational diabetes, although it may indicate a genetic predisposition to insulin resistance.

Choice C is wrong because smoking during pregnancy is not a primary risk factor for gestational diabetes, although it may have other adverse effects on the mother and the baby.

Some of the other risk factors for gestational diabetes include obesity, hormonal changes, polycystic ovary syndrome, and pregnancy over 30 years of age.Gestational diabetes can cause complications such as high blood pressure, preeclampsia, large birth weight, premature delivery, respiratory distress syndrome, and low blood sugar in the baby.Gestational diabetes can be managed with a healthy diet, exercise, and medication if needed.

A. "Inject insulin directly into the umbilical area for optimal absorption.". B. "Dispose of needles in a regular trash bin after use.". C. "Rotate injection sites to ensure consistent insulin absorption.". D. "Store insulin vials in the freezer to maintain potency.".

Correct Answer is C

Explanation

The correct answer is choice C. The nurse should instruct the client to rotate injection sites to ensure consistent insulin absorption.Rotating injection sites helps prevent lipodystrophy, which is a condition that affects the subcutaneous fat tissue and can impair insulin absorption.

Choice A is wrong because injecting insulin directly into the umbilical area is not recommended for pregnant clients, as it may cause irritation or infection of the umbilical cord.

Choice B is wrong because needles should be disposed of in a puncture-resistant container, not in a regular trash bin, to prevent needlestick injuries.

Choice D is wrong because insulin vials should be stored in the refrigerator, not in the freezer, to maintain potency.Freezing can damage the insulin molecules and reduce their effectiveness.

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A nurse is discussing dietary modifications with a client with gestational diabetes. Which of the following food choices should the nurse recommend as part of a balanced meal plan?

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Naxlex Comprehensive Predictor Exams

The primary risk factor for gestational diabetes is?

Correct Answer is A

Explanation

A client with gestational diabetes is prescribed insulin therapy. The nurse is educating the client on proper insulin administration techniques. Which of the following instructions should the nurse provide?

Correct Answer is C

Explanation

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A nurse is preparing to administer oral glucose to a pregnant woman who has gestational diabetes and is experiencing symptoms of hyperglycemia. The nurse should use which of the following routes to administer the glucose?

A client with gestational diabetes asks the nurse about the recommended types of exercise during pregnancy. Which of the following responses by the nurse is correct?

A nurse is discussing dietary modifications with a client with gestational diabetes.

Which of the following food choices should the nurse recommend as part of a balanced meal plan?