A nurse is instructing a client with gestational diabetes on carbohydrate counting.
Which of the following statements by the client indicates understanding of the teaching?
"I should limit my protein intake to control blood sugar levels.".
"I need to avoid fruits and vegetables since they contain carbohydrates.".
"I will monitor my portion sizes and calculate the number of carbohydrates I consume.".
"I can consume unlimited amounts of carbohydrates as long as they are from whole grains.".
The Correct Answer is C
The correct answer is choice C. “I will monitor my portion sizes and calculate the number of carbohydrates I consume.” This statement indicates that the client understands the concept of carbohydrate counting, which is a method of planning meals based on the amount and type of carbohydrates in foods.
Carbohydrate counting helps to control blood glucose levels by matching insulin or medication doses to carbohydrate intake.
Choice A is wrong because protein intake does not directly affect blood glucose levels, although it is important to consume adequate protein for overall health and fetal development.
Choice B is wrong because fruits and vegetables are good sources of carbohydrates, vitamins, minerals, and fiber, and should not be avoided.
However, they should be counted as part of the total carbohydrate intake.
Choice D is wrong because consuming unlimited amounts of carbohydrates, even from whole grains, can cause hyperglycemia and complications for the mother and the fetus.
Whole grains are preferable to refined grains because they have more fiber and nutrients, but they still need to be measured and counted as carbohydrates.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C.Being older than 25 years at the time of pregnancy is a risk factor for developing gestational diabetes.Gestational diabetes is a type of diabetes that can develop during pregnancy in women who don’t already have diabetes.It occurs when the body can’t make enough insulin during pregnancy.
Choice A is wrong because being underweight before pregnancy is not a risk factor for gestational diabetes.In fact, obesity is one of the biggest risk factors for this condition.
Choice B is wrong because having a history of infertility or miscarriage is not a risk factor for gestational diabetes.However, having a family history of diabetes is a risk factor.
Choice D is wrong because having a family history of autoimmune disease is not a risk factor for gestational diabetes.Autoimmune diseases are conditions where the immune system attacks the body’s own tissues, such as type 1 diabetes or rheumatoid arthritis.Gestational diabetes is not an autoimmune disease, but rather a disorder of insulin resistance and secretion.
Correct Answer is A
Explanation
The correct answer is choice A. One hour.The nurse should check the newborn’s blood glucose level within one hour after birth because infants born to mothers with gestational diabetes are at risk of hypoglycemia due to increased insulin secretion in response to maternal-fetal hyperglycemia.Hypoglycemia can cause symptoms such as jitteriness, lethargy, poor feeding, cyanosis and apnea.
Checking the blood glucose level within one hour can help identify and treat hypoglycemia promptly.
Choice B. Two hours is wrong because it may delay the detection and treatment of hypoglycemia, which can have adverse effects on the newborn’s brain development.
Choice C. Three hours is wrong for the same reason as choice B. Choice D. Four hours is wrong for the same reason as choice B and C. Normal ranges for blood glucose levels in newborns vary depending on the method of measurement, but generally they are above 47 mg/dL.Some sources suggest a lower cutoff of 40 mg/dL.
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