A nurse is reviewing the laboratory results of a pregnant woman who is being screened for gestational diabetes.

The nurse notes that the woman has a fasting blood glucose level of 100 mg/dL.

Which of the following actions should the nurse take?

The correct answer is choice C. The woman should report any vaginal discharge or itching to her doctor, as these could be signs of a yeast infection, which is more common in women with diabetes.Yeast infections can cause irritation and discomfort, and may increase the risk of preterm labor or urinary tract infections

Choice A is wrong because checking blood glucose levels four times a day is recommended during pregnancy, not after delivery.After delivery, the woman may need to check her blood glucose levels less often, depending on her doctor’s advice

Choice B is wrong because drinking juice or soda can raise blood glucose levels and worsen hyperglycemia.The woman should drink water or sugar-free beverages if she feels thirsty

Choice D is wrong because stopping insulin or oral medication after delivery can lead to uncontrolled blood glucose levels and complications.

The woman should follow her doctor’s instructions on how to adjust her medication after delivery.Some women may need to continue taking insulin or oral medication for a while, while others may be able to stop or switch to a different type of medication

The correct answer is choice C. The woman had no episodes of hypoglycemia or hyperglycemia during pregnancy.This indicates that the interventions were successful in maintaining normal blood glucose levels and preventing complications for the mother and the baby.

Choice A is wrong because the woman gained less than 10 kg (22 lb) during pregnancy.

This is below the recommended weight gain range for women with gestational diabetes, which depends on their pre-pregnancy body mass index (BMI).According to a study based on over 12 thousand participants, the ideal weight gain range for women with gestational diabetes was 10–15.9 kg for underweight, 8–11.9 kg for normal weight, 6–7.9 kg for overweight, and -5–3.9 kg for obesity.

Choice B is wrong because the woman delivered a baby who weighed 3 kg (6.6 lb) at birth.

This is within the normal range for birth weight, but it does not necessarily reflect the effectiveness of the interventions for gestational diabetes.A baby born to a mother with gestational diabetes may be at risk of being large for gestational age (LGA), which is defined as a birth weight above the 90th percentile for gestational age.LGA babies may have complications such as shoulder dystocia, hypoglycemia, and respiratory distress syndrome.

Choice D is wrong because the woman’s blood glucose levels returned to normal within six weeks after delivery.

This is a desirable outcome, but it does not indicate that the interventions were successful during pregnancy.

Gestational diabetes usually