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?

The correct answer is choice A. The nurse should check the newborn’s blood glucose level within one hour after birth.This is because newborns of mothers with gestational diabetes are at risk of developing hypoglycemia due to hyperinsulinemia.Hypoglycemia can cause neurological damage or death if not treated promptly.

Choice B is wrong because two hours may be too late to detect and treat hypoglycemia in a newborn at risk.

Choice C is wrong because three hours is definitely too late to check the blood glucose level of a newborn at risk of hypoglycemia.

Choice D is wrong because four hours is way too late to check the blood glucose level of a newborn at risk of hypoglycemia.

The normal blood glucose level for a newborn is between 70 and 150 mg/dL.However, some infants may have transient low blood glucose levels as low as 25 mg/dL within the first two hours of life, which is physiologic and self-limited.Infants with risk factors for hypoglycemia, such as maternal diabetes, should be screened at 2 hours of age and then before each feeding for the first and second days of life.A blood glucose level of less than 45 mg/dL in an asymptomatic infant or less than 36 mg/dL in a symptomatic infant is considered hypoglycemic and requires treatment.

The correct answer is choice A. Eat smaller meals more frequently throughout the day.

This can help prevent symptoms of hyperglycemia (high blood sugar) by keeping the blood sugar level more stable and avoiding spikes and dips.Eating smaller meals can also help prevent overeating and weight gain, which can worsen insulin resistance and gestational diabetes.

Choice B is wrong because foods that are high in fiber and low in fat can actually help control blood sugar levels by slowing down the digestion and absorption of carbohydrates.Fiber can also help lower cholesterol levels and prevent constipation.

Choice C is wrong because simple carbohydrates and sugars can raise blood sugar levels quickly and cause hyperglycemia.Women with gestational diabetes should limit their intake of these foods and choose complex carbohydrates that are rich in fiber, such as whole grains, fruits, and vegetables.

Choice D is wrong because skipping breakfast can lead to low blood sugar levels in the morning and high blood sugar levels later in the day.

It can also increase hunger and cravings, which can result in overeating at lunch and dinner.Women with gestational diabetes should eat a balanced breakfast that includes protein, carbohydrates, and healthy fats.