A nurse is reviewing the risk factors for developing gestational diabetes with a group of pregnant women during a prenatal class.

The nurse should include which of the following factors in the teaching?

The correct answer is choice D. Previous history of gestational diabetes.This is because having gestational diabetes in a previous pregnancy increases the risk of developing it again in a subsequent pregnancy.According to the CDC, about 50% of women with gestational diabetes go on to develop type 2 diabetes later in life.

Choice A is wrong because advanced maternal age is not a primary risk factor for gestational diabetes, although it may increase the risk slightly.

Choice B is wrong because family history of diabetes is not a primary risk factor for gestational diabetes, although it may indicate a genetic predisposition to insulin resistance.

Choice C is wrong because smoking during pregnancy is not a primary risk factor for gestational diabetes, although it may have other adverse effects on the mother and the baby.

Some of the other risk factors for gestational diabetes include obesity, hormonal changes, polycystic ovary syndrome, and pregnancy over 30 years of age.Gestational diabetes can cause complications such as high blood pressure, preeclampsia, large birth weight, premature delivery, respiratory distress syndrome, and low blood sugar in the baby.Gestational diabetes can be managed with a healthy diet, exercise, and medication if needed.

The correct answer is choice D. Lispro insulin.

Lispro insulin is a type of rapid-acting insulin that can provide blood glucose control within 15 minutes of injection.It is suitable for pregnant women with gestational diabetes who need to lower their blood sugar quickly after meals.

Choice A is wrong because regular insulin is a type of short-acting insulin that takes about 30 minutes to start working and lasts for 3 to 6 hours.It is not as fast as lispro insulin and may cause low blood sugar if taken too early before meals.

Choice B is wrong because NPH insulin is a type of intermediate-acting insulin that takes about 2 to 4 hours to start working and lasts for 12 to 18 hours.It is not suitable for rapid-acting blood glucose control and may cause low blood sugar if taken too often or at the wrong time.

Choice C is wrong because glargine insulin is a type of long-acting insulin that takes about 1 to 2 hours to start working and lasts for 24 hours.It is not suitable for rapid-acting blood glucose control and may cause low blood sugar if taken with other types of insulin.

Gestational diabetes is a condition in which a hormone made by the placenta prevents the body from using insulin effectively.

Glucose builds up in the blood instead of being absorbed by the cells.It can cause complications for the mother and the baby, such as high blood pressure, large birth weight, premature delivery, low blood sugar, and future diabetes.Gestational diabetes can be managed with a healthy diet, exercise, and medication if needed.

Insulin is a hormone that helps regulate blood glucose levels.There are different types of insulin that vary in how quickly they start working, how long they last, and how they are taken.