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 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

A. Advanced maternal age B. Family history of diabetes C. Smoking during pregnancy D. Previous history of gestational diabetes

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.

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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

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Correct Answer is D

Explanation

The primary risk factor for gestational diabetes is?

Correct Answer is A

Explanation

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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?