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?

The correct answer is choice D. Notify the provider.

A blood glucose level of 200 mg/dL (11.1 mmol/L) after a meal is too high for a pregnant woman with gestational diabetes and indicates poor glycemic control.

The provider should be informed of this result and may adjust the woman’s treatment plan accordingly.

Choice A is wrong because insulin is not always prescribed for gestational diabetes.

Some women can manage their blood sugar levels with diet and exercise alone.

Insulin should only be administered as prescribed by the provider and not based on a single test result.

Choice B is wrong because drinking water will not lower the blood glucose level significantly.

Water can help prevent dehydration and constipation, which are common problems in pregnancy, but it does not affect insulin sensitivity or glucose metabolism.

Choice C is wrong because repeating the test in 15 minutes will not change the outcome.

A blood glucose level of 200 mg/dL (11.1 mmol/L) after a meal is clearly abnormal and needs immediate attention.

Delaying the notification of the provider may increase the risk of complications for the woman and her baby.

According to Diabetic.org, the normal blood glucose levels for gestational diabetes are:

• Fasting: less than 95 mg/dL (5.3 mmol/L)

• One hour after a meal: less than 140 mg/dL (7.8 mmol/L)

• Two hours after a meal: less than 120 mg/dL (6.7 mmol/L)

These levels may vary slightly depending on the clinic or lab, but

The correct answer is choice D. All of the above.

The nurse should tell the woman to wash her hands with soap and water before testing, prick the side of her fingertip with a lancet, and apply gentle pressure to the puncture site until a drop of blood forms.These steps are necessary to ensure accurate and safe blood glucose monitoring at home.

Choice A is wrong because washing hands with soap and water is not enough.The woman should also dry her hands thoroughly before testing.

Choice B is wrong because pricking the side of the fingertip is not enough.The woman should also rotate the puncture sites to avoid soreness and infection.

Choice C is wrong because applying gentle pressure to the puncture site is not enough.The woman should also dispose of the lancet and the test strip properly and record the blood glucose result.

Normal blood glucose ranges for pregnant women with gestational diabetes are 95 mg/dL or less before meals, 140 mg/dL or less 1 hour after meals, and 120 mg/dL or less 2 hours after meals.