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 B

Explanation

The correct answer is choice B. Type 2 diabetes.This test is done to check if the woman has developed type 2 diabetes after having gestational diabetes during pregnancy.Gestational diabetes is a condition in which women develop high blood sugar during pregnancy.It usually goes away after delivery, but it increases the risk of developing type 2 diabetes later in life.Type 2 diabetes is a chronic condition that affects how the body uses glucose, a type of sugar that is the main source of energy for the cells.

Choice A is wrong because type 1 diabetes is an autoimmune condition that usually develops in childhood or young adulthood and requires insulin injections for life.

It is not caused by gestational diabetes.

Choice C is wrong because prediabetes is a condition in which blood sugar levels are higher than normal but not high enough to be diagnosed as diabetes.

It is a risk factor for developing type 2 diabetes, but it is not the same as having diabetes.

Choice D is wrong because metabolic syndrome is a cluster of conditions that increase the risk of heart disease, stroke and type 2 diabetes.These conditions include high blood pressure, high blood sugar, excess body fat around the waist and abnormal cholesterol levels.

Metabolic syndrome can be diagnosed by measuring these factors, not by a glucose tolerance test.

A. Every hour B. Every two hours C. Every four hours D. Every six hours

Correct Answer is A

Explanation

The correct answer is choice A. The nurse should monitor the woman’s blood glucose levels every hour during labor.This is because maternal blood glucose levels around the time of delivery are directly related to the risk of neonatal hypoglycemia.Therefore, achieving maternal euglycemia in women with gestational diabetes mellitus is critical to decreasing the risk of neonatal complications.

Choice B is wrong because every two hours is not frequent enough to ensure optimal glucose control during labor.

Choice C is wrong because every four hours is even less frequent and may miss significant fluctuations in blood glucose levels.

Choice D is wrong because every six hours is too infrequent and may put the mother and the baby at risk of adverse outcomes.

The maternal glucose should be maintained between 4.0 and 6.0-7.0 mmol/L during labor.Most women with gestational diabetes, especially if they require less than 1.0 units/kg/d of insulin, can simply be monitored without intravenous insulin.However, women who are taking medication for gestational diabetes require more frequent glucose monitoring, typically with hourly evaluations.

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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 caring for a pregnant woman who has gestational diabetes and is scheduled for a follow-up glucose tolerance test six weeks after delivery. The nurse should inform the woman that this test is done to check for which of the following conditions?

Correct Answer is B

Explanation

A nurse is caring for a pregnant woman who has gestational diabetes and is in labor. The nurse should monitor the woman’s blood glucose levels every how often during labor?

Correct Answer is A

Explanation

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 providing dietary education to a pregnant woman who has gestational diabetes. The nurse should advise the woman to consume which of the following types of carbohydrates to help control her blood glucose levels?

A nurse is evaluating the effectiveness of nursing interventions for a pregnant woman who has gestational diabetes and received nutritional therapy and exercise counseling during pregnancy. Which of the following outcomes indicates that the interventions were successful?

A nurse is teaching a pregnant woman who has gestational diabetes about how to prevent type 2 diabetes in the future. Which of the following statements by the woman indicates an understanding of the teaching?

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?

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?

A nurse is evaluating the outcomes of care for a pregnant woman who has gestational diabetes and received insulin therapy during pregnancy. Which of the following findings indicates that the insulin therapy was effective?

A nurse is caring for a pregnant woman who has gestational diabetes and reports excessive sweating. The nurse should recognize that this symptom is most likely caused by which of the following factors?

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?