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

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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 the goal of intrapartum insulin therapy is maternal and fetal euglycemia with a maternal glucose less than 90 mg/dL.Hourly blood glucose monitoring can help adjust the insulin infusion rate and prevent hypoglycemia or hyperglycemia.

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

Choice C is wrong because every four hours is too long to wait between blood glucose checks and could lead to complications.

Choice D is wrong because every six hours is even longer and more risky than choice C. Normal ranges for blood glucose levels during labor are between 4.0 and 6.0-7.0 mmol/L (72-108 mg/dL).Women with gestational diabetes who require less than 1.0 units/kg/d of insulin may not need intravenous insulin, but they still need to be monitored regularly.

A. Placenta previa B. Preeclampsia C. Chorioamnionitis D. Abruptio placentae

Correct Answer is B

Explanation

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.

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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 administering insulin to 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 caring for a pregnant woman who has gestational diabetes and is in labor. The nurse should monitor the woman for which of the following complications that can result from uncontrolled blood sugar levels?

Correct Answer is B

Explanation

A nurse is interpreting the results of a glucose tolerance test for a pregnant woman who was screened for gestational diabetes. The nurse should recognize that the woman has gestational diabetes if her blood glucose level is which of the following at 1 hour after drinking the sugary drink?

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?

A nurse is explaining the role of insulin in glucose metabolism to a pregnant woman who has gestational diabetes. The nurse should tell the woman that insulin is a hormone that does which of the following?

The primary risk factor for gestational diabetes is?

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 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 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 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 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?