A nurse is providing education to a pregnant client of Middle Eastern origin.

The nurse explains that which factor increases the client's risk of developing gestational diabetes?

Being of African-Caribbean origin

Normal body mass index (BMI).

No family history of diabetes

No history of endocrine disorder

Answer and Explanation

The Correct Answer is D

The correct answer is choice D. No history of endocrine disorder. This is because having a history of endocrine disorder, such as thyroid disease or polycystic ovary syndrome, can increase the risk of developing gestational diabetes.

Choice A is wrong because being of African-Caribbean origin is not a risk factor for gestational diabetes. The ethnic groups that have higher risk include Asian, Hispanic, Native American, and Pacific Islander.

Choice B is wrong because normal body mass index (BMI) is not a risk factor for gestational diabetes. On the contrary, having a high BMI (over 30) before pregnancy or gaining too much weight during pregnancy can increase the risk of gestational diabetes.

Choice C is wrong because no family history of diabetes is not a risk factor for gestational diabetes. Having a family history of diabetes, especially in a first-degree relative (such as a parent or sibling), can increase the risk of gestational diabetes.

Normal ranges for blood glucose levels during pregnancy are:

• Fasting: less than 95 mg/dL

• One hour after meal: less than 140 mg/dL

• Two hours after meal: less than 120 mg/dL

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Polycythemia is a condition where the baby has too many red blood cells, which can cause blood clots and other problems.It can occur in newborns whose mothers have gestational diabetes because of the high blood sugar levels in the mother’s blood.

Choice A is wrong because macrosomia is not a complication, but a risk factor for gestational diabetes.Macrosomia means having a large baby, which can cause difficulties during delivery and increase the need for a C-section.

Choice B is wrong because hypothermia is not a common complication of gestational diabetes.

Hypothermia means having a low body temperature, which can occur in newborns for various reasons, such as infection, prematurity, or exposure to cold.

Choice D is wrong because hyperglycemia is not a complication of gestational diabetes, but a cause of it.

Hyperglycemia means having high

A. One hour B. Two hours C. Three hours D. Four hours

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.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is providing education to a pregnant client of Middle Eastern origin. The nurse explains that which factor increases the client's risk of developing gestational diabetes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn whose mother has gestational diabetes. The nurse should monitor the newborn for which of the following complications?

Correct Answer is C

Explanation

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?

Correct Answer is A

Explanation

A nurse is providing education to a pregnant client who is 42 years old. The nurse explains that advanced maternal age increases the risk of which condition during pregnancy?

A nurse is teaching a pregnant woman who has gestational diabetes about the importance of diagnosing and treating the condition. The nurse should explain that untreated gestational diabetes can lead to which of the following complications for the baby?

A nurse is reviewing the antenatal care plan for a pregnant woman who has gestational diabetes and is taking oral antidiabetic drugs. The nurse should expect the woman to have which of the following tests to monitor the effects of the medication on the baby?

A nurse is assessing a pregnant woman who has gestational diabetes for complications of hyperglycemia during labor and delivery. The nurse should monitor the woman for which of the following signs and symptoms?

A nurse is preparing to administer intravenous glucose to a newborn whose mother has gestational diabetes and who has hypoglycemia. The nurse should recognize that this intervention is necessary to prevent which of the following complications?

A nurse is evaluating the blood glucose levels of a pregnant woman who has gestational diabetes after a glucose tolerance test. Which of the following results indicates that the woman has impaired glucose tolerance?

A nurse is teaching a pregnant woman who has gestational diabetes about how to recognize and manage symptoms of hyperglycemia after delivery. Which of the following statements by the woman indicates an understanding of the teaching?

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?

A nurse is providing education to a pregnant client of Middle Eastern origin.

The nurse explains that which factor increases the client's risk of developing gestational diabetes?