A nurse is planning care for a pregnant woman who has gestational diabetes and a history of prediabetes.

Which of the following interventions should the nurse include in the plan?

Encourage the woman to increase her intake of complex carbohydrates

Monitor the woman's blood pressure and urine protein levels

Advise the woman to limit her physical activity during pregnancy

Teach the woman how to check her blood glucose levels at home

Answer and Explanation

The Correct Answer is D

The correct answer is choice D. Teach the woman how to check her blood glucose levels at home. This is because gestational diabetes is a condition where the blood glucose levels are higher than normal during pregnancy, and it can affect the health of the mother and the baby. By checking her blood glucose levels at home, the woman can monitor her condition and adjust her treatment accordingly.

Choice A is wrong because increasing the intake of complex carbohydrates can raise the blood glucose levels and worsen gestational diabetes. Instead, the woman should follow a healthy eating plan that balances carbohydrates with protein and fat.

Choice B is wrong because blood pressure and urine protein levels are not directly related to gestational diabetes. They are more relevant for preeclampsia, a different complication of pregnancy that involves high blood pressure and kidney damage.

Choice C is wrong because limiting physical activity during pregnancy can increase the risk of gestational diabetes and other problems. Physical activity can help lower blood glucose levels, improve blood pressure and cholesterol levels, relieve stress, and prevent excessive weight gain. The woman should aim for 30 minutes of moderate activity at least 5 days a week, unless her doctor advises otherwise.

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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 gestational diabetes.

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 for gestational diabetes.

Choice D is wrong because having a family history of autoimmune diseases 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.

A. Anemia B. Preeclampsia C. Placenta previa D. Preterm labor

Correct Answer is B

Explanation

The correct answer is choice B. Preeclampsia.Gestational diabetes increases the risk of developing preeclampsia, a condition characterized by high blood pressure and protein in the urine that can lead to serious complications for the mother and the baby.

Choice A is wrong because anemia is not a common complication of gestational diabetes.

Anemia is a condition where the red blood cells are low or abnormal, causing fatigue, weakness and pale skin.

Choice C is wrong because placenta previa is not related to gestational diabetes.

Placenta previa is a condition where the placenta covers part or all of the opening of the cervix, causing bleeding and possible premature delivery.

Choice D is wrong because preterm labor is not directly caused by gestational diabetes.

Preterm labor is when contractions start before 37 weeks of pregnancy, which can result in a premature birth.However, gestational diabetes can increase the risk of other conditions that can lead to preterm labor, such as polyhydramnios (excess amniotic fluid) or macrosomia (large baby).

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A nurse is planning care for a pregnant woman who has gestational diabetes and a history of prediabetes. Which of the following interventions should the nurse include in the plan?

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing the risk factors for developing gestational diabetes with a group of pregnant women during a prenatal class. The nurse should include which of the following factors in the teaching?

Correct Answer is C

Explanation

A nurse is conducting a prenatal class for women who have gestational diabetes. The nurse should inform the women that having gestational diabetes increases their risk of having which of the following complications during pregnancy?

Correct Answer is B

Explanation

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A nurse is teaching a group of pregnant women about risk factors for gestational diabetes. Which of the following statements by one of the women indicates a need for further teaching?

A nurse is reviewing the laboratory results of a pregnant woman who has gestational diabetes and is experiencing symptoms of hyperglycemia. The nurse expects to find which of the following findings?

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?

A nurse is assessing a newborn whose mother has gestational diabetes for signs of hypoglycemia. The nurse should check the newborn’s blood glucose level within how many hours after birth?

The primary risk factor for gestational diabetes is?

A nurse is reviewing the laboratory results of a pregnant woman who is being screened for gestational diabetes. The nurse notes that the woman has a fasting blood glucose level of 100 mg/dL. Which of the following actions should the nurse take?

A nurse is planning care for a pregnant woman who has gestational diabetes and a history of prediabetes.

Which of the following interventions should the nurse include in the plan?