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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B. Preeclampsia.Gestational diabetes increases the risk of developing preeclampsia, a condition characterized by high blood pressure and protein in the urine that can lead to serious complications for the mother and the baby.
Choice A is wrong because anemia is not a common complication of gestational diabetes.
Anemia is a condition where the red blood cells are low or abnormal, causing fatigue, weakness and pale skin.
Choice C is wrong because placenta previa is not related to gestational diabetes.
Placenta previa is a condition where the placenta covers part or all of the opening of the cervix, causing bleeding and possible premature delivery.
Choice D is wrong because preterm labor is not directly caused by gestational diabetes.
Preterm labor is when contractions start before 37 weeks of pregnancy, which can result in a premature birth.However, gestational diabetes can increase the risk of other conditions that can lead to preterm labor, such as polyhydramnios (excess amniotic fluid) or macrosomia (large baby).
Correct Answer is A
Explanation
The correct answer is choice A. The nurse should check the newborn’s blood glucose level within one hour after birth.This is because infants born to mothers with gestational diabetes are at risk of developing hypoglycemia due to increased insulin secretion in response to maternal-fetal hyperglycemia.Hypoglycemia can cause neurological damage and other complications in newborns, so early detection and treatment are essential.
Choice B is wrong because two hours after birth may be too late to prevent or treat hypoglycemia in some infants.
Choice C is wrong because three hours after birth is even later and may increase the risk of adverse outcomes.
Choice D is wrong because four hours after birth is the latest time to check the blood glucose level and may miss some cases of hypoglycemia that occur earlier.
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