A nurse is providing education to a pregnant woman who has gestational diabetes.

The nurse should explain that the woman has a higher risk of developing which of the following conditions in the future?

The correct answer is choice B. The woman delivered a baby who weighed 3 kg (6.6 lb) at birth.

This indicates that the interventions were successful because the baby’s weight is within the normal range and not affected by gestational diabetes mellitus (GDM).According to one study, an ideal gestational weight gain (GWG) range for women with GDM is 8-11.9 kg for normal weight, 6-7.9 kg for overweight, and -5-3.9 kg for obesity.

Choice A is wrong because the woman gained less than 10 kg (22 lb) during pregnancy.This may be too low for a normal weight woman and may increase the risk of small for gestational age (SGA) or preterm birth.

Choice C is wrong because the woman had no episodes of hypoglycemia or hyperglycemia during pregnancy.

This may be a result of good blood glucose control, but it does not reflect the outcome of the interventions on the baby’s health.

Choice D is wrong because the woman’s blood glucose levels returned to normal within six weeks after delivery.This may happen in most women with GDM, but it does not indicate the effectiveness of the interventions during pregnancy.

The correct answer is choice C. Blurred vision.

Blurred vision is a sign of hyperglycemia, which means high blood sugar.Hyperglycemia can occur in pregnant women who have gestational diabetes, a condition that develops during pregnancy and usually disappears after giving birth.Hyperglycemia can cause problems for the mother and the baby if not treated properly.

Choice A is wrong because hypotension means low blood pressure, which is not a sign of hyperglycemia.Hypotension can have other causes, such as dehydration, bleeding, or infection.

Choice B is wrong because bradycardia means slow heart rate, which is not a sign of hyperglycemia.Bradycardia can have other causes, such as heart disease, medication, or hypothyroidism.

Choice D is wrong because pallor means pale skin, which is not a sign of hyperglycemia.Pallor can have other causes, such as anemia, shock, or low blood flow.

Some other signs of hyperglycemia include increased thirst, frequent urination, excessive sweating, fatigue, and genital itching or thrush.Normal blood sugar ranges for pregnant women are 60 to 99 mg/dL before meals and less than 120 mg/dL one hour after meals.