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 C. Pancreas.Gestational diabetes is a type of diabetes that develops during pregnancy and affects how the cells use sugar (glucose).Glucose is the main source of energy for the body and it is regulated by a hormone called insulin, which is produced by the pancreas.

In gestational diabetes, the placenta (the organ that connects the baby to the mother) produces hormones that can make insulin less effective, leading to high blood sugar levels.This condition is called insulin resistance

Choice A is wrong because the lungs are not directly involved in glucose metabolism or insulin production.

Choice B is wrong because the kidneys are not the primary site of insulin production, although they can be affected by high blood sugar levels over time.

Choice D is wrong because the liver is not the main source of insulin, although it can help regulate blood sugar levels by storing and releasing glucose as needed.

Gestational diabetes usually does not cause any symptoms, but it can increase the risk of complications for both the mother and the baby, such as high blood pressure, pre-eclampsia, large birth weight, premature delivery, low blood sugar, and future diabetesTherefore, it is important to screen for gestational diabetes during pregnancy and manage it with a healthy diet, exercise, and medication if needed

Lispro insulin is a rapid-acting insulin that starts to work within 15 minutes and lasts for 2 to 4 hours.It is used to provide blood glucose control before meals for people with diabetes.A pregnant woman with gestational diabetes who is experiencing symptoms of hyperglycemia needs rapid-acting blood glucose control to prevent complications for herself and her baby.

Choice A is wrong because regular insulin is a short-acting insulin that starts to work within 30 minutes and lasts for 5 to 8 hours.It is not as fast as lispro insulin and may not provide adequate blood glucose control for a pregnant woman with hyperglycemia.

Choice B is wrong because NPH insulin is an intermediate-acting insulin that starts to work within 2 to 4 hours and lasts for 10 to 18 hours.It is used to provide background insulin throughout the day and night, but it is not suitable for rapid-acting blood glucose control.

Choice C is wrong because glargine insulin is a long-acting insulin that starts to work within 1 to 2 hours and lasts for 24 hours.It is used to provide steady insulin levels between meals and overnight, but it is not appropriate for rapid-acting blood glucose control.