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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
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. “I should have my blood glucose levels checked every year.”.
B. “I should avoid breastfeeding my baby.”.
C. “I should gain weight gradually after delivery.”.
D. “I should take oral antidiabetic drugs as prescribed.
Answer and explanation..
The correct answer is choice A.“I should have my blood glucose levels checked every year.” This statement indicates that the woman understands that she is at high risk of developing type 2 diabetes after having gestational diabetes and that regular screening can help detect it early and prevent complications.
Choice B is wrong because breastfeeding can actually lower the risk of type 2 diabetes in women who had gestational diabetes.Breastfeeding can also benefit the baby by reducing the risk of obesity and diabetes later in life.
Choice C is wrong because gaining weight gradually after delivery can increase the risk of type 2 diabetes in women who had gestational diabetes.
Losing excess weight and
Correct Answer is C
Explanation
The correct answer is choice C. Type 2 diabetes.The nurse should explain that the woman has a higher risk of developing type 2 diabetes later in life because gestational diabetes is a condition where the body cannot use insulin properly during pregnancy.This can lead to high blood sugar levels and affect the health of both the mother and the baby.Gestational diabetes usually goes away after the baby is born, but it increases the chance of getting type 2 diabetes in the future.According to the CDC, up to 50% of women with gestational diabetes will develop type 2 diabetes within 5 to 10 years after delivery.
Choice A is wrong because hypertension is not directly related to gestational diabetes.However, high blood pressure can be a complication of pregnancy and can increase the risk of preeclampsia, a serious condition that can affect both the mother and the baby.
Choice B is wrong because osteoporosis is not directly related to gestational diabetes.
Osteoporosis is a condition where the bones become weak and brittle due to loss of bone density.It can be influenced by factors such as age, genetics, diet, lifestyle, and hormonal changes.
Choice D is wrong because thyroid disease is not directly related to gestational diabetes.
Thyroid disease is a condition where the thyroid gland produces too much or too little thyroid hormone, which regulates the metabolism and other body functions.It can be caused by autoimmune disorders, infections, tumors, medications, or iodine deficiency.
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