A nurse is reviewing the medical records of four pregnant women who are being screened for gestational diabetes.

Which of the following women has the highest risk factor for developing gestational diabetes?

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.

The correct answer is choice D. Teach the woman how to check her blood glucose levels at home.This is because gestational diabetes is a condition where the blood glucose levels are higher than normal during pregnancy, and it can affect the health of the mother and the baby.By checking her blood glucose levels at home, the woman can monitor her condition and adjust her treatment accordingly.

Choice A is wrong because increasing the intake of complex carbohydrates can raise the blood glucose levels and worsen gestational diabetes.Instead, the woman should follow a healthy eating plan that balances carbohydrates with protein and fat.

Choice B is wrong because blood pressure and urine protein levels are not directly related to gestational diabetes.They are more relevant for preeclampsia, a different complication of pregnancy that involves high blood pressure and kidney damage.

Choice C is wrong because limiting physical activity during pregnancy can increase the risk of gestational diabetes and other problems.Physical activity can help lower blood glucose levels, improve blood pressure and cholesterol levels, relieve stress, and prevent excessive weight gain.The woman should aim for 30 minutes of moderate activity at least 5 days a week, unless her doctor advises otherwise.