A nurse is providing discharge education to a pregnant woman who has gestational diabetes and delivered a healthy baby.

The nurse should inform the woman that she has an increased risk of developing which of the following conditions in the future?

The correct answer is choice D. Thrush.

Thrush is a fungal infection that can affect the mouth, skin, or genitals.

It is more common in people with diabetes, especially if their blood sugar levels are not well controlled.High blood sugar levels can weaken the immune system and make it harder to fight off infections.

Choice A is wrong because pneumonia is a bacterial or viral infection of the lungs.It is not directly related to gestational diabetes, although having diabetes may increase the risk of respiratory infections in general.

Choice B is wrong because meningitis is an inflammation of the membranes that cover the brain and spinal cord.

It can be caused by bacteria, viruses, fungi, or other organisms.Gestational diabetes does not increase the risk of meningitis.

Choice C is wrong because cholecystitis is an inflammation of the gallbladder.

It can be caused by gallstones, infections, or other factors.Gestational diabetes does not increase the risk of cholecystitis.

Normal ranges for blood sugar levels during pregnancy are:

• Before meals: 3.5 to 5.9 mmol/L

• One hour after meals: 7.8 mmol/L or lower

• Two hours after meals: 6.4 mmol/L or lower

The correct answer is choice B. Preeclampsia.

Preeclampsia is a complication of pregnancy that is characterized by high blood pressure, proteinuria, and edema.It can result from uncontrolled blood sugar levels, as well as other risk factors such as obesity, hypertension, and previous large for gestational age (LGA) infant.

Preeclampsia can lead to serious complications for both the mother and the baby, such as eclampsia, HELLP syndrome, placental abruption, and intrauterine growth restriction.

Choice A. Placenta previa is wrong because it is a condition where the placenta covers the cervix partially or completely.It is not caused by uncontrolled blood sugar levels, but by factors such as previous cesarean section, multiple gestation, advanced maternal age, and smoking.

Choice C. Chorioamnionitis is wrong because it is an infection of the amniotic fluid and membranes that surround the fetus.

It is not caused by uncontrolled blood sugar levels, but by bacteria that ascend from the vagina or cervix into the uterus.It can cause fever, uterine tenderness, foul-smelling amniotic fluid, and fetal tachycardia.

Choice D. Abruptio placentae is wrong because it is a condition where the placenta separates from the uterine wall before delivery.It is not caused by uncontrolled blood sugar levels, but by factors such as trauma, hypertension, smoking, cocaine use, and previous history of abruption.