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?

Being underweight before pregnancy

Having a history of infertility or miscarriage

Being older than 25 years at the time of pregnancy

Having a family history of autoimmune disease

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. Being older than 25 years at the time of pregnancy is a risk factor for developing gestational diabetes. Gestational diabetes is a type of diabetes that can develop during pregnancy in women who don’t already have diabetes. It occurs when the body can’t make enough insulin during pregnancy.

Choice A is wrong because being underweight before pregnancy is not a risk factor for gestational diabetes. In fact, obesity is one of the biggest risk factors for this condition.

Choice B is wrong because having a history of infertility or miscarriage is not a risk factor for gestational diabetes. However, having a family history of diabetes is a risk factor.

Choice D is wrong because having a family history of autoimmune disease is not a risk factor for gestational diabetes.

Autoimmune diseases are conditions where the immune system attacks the body’s own tissues, such as type 1 diabetes or rheumatoid arthritis. Gestational diabetes is not an autoimmune disease, but rather a disorder of insulin resistance.

Normal ranges for blood glucose levels during pregnancy are:

• Fasting: less

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Correct Answer is B

Explanation

The correct answer is choice B. Preeclampsia.Gestational diabetes increases the risk of developing preeclampsia, a condition characterized by high blood pressure and protein in the urine that can lead to serious complications for the mother and the baby.

Choice A is wrong because anemia is not a common complication of gestational diabetes.

Anemia is a condition where the red blood cells are low or abnormal, causing fatigue, weakness and pale skin.

Choice C is wrong because placenta previa is not related to gestational diabetes.

Placenta previa is a condition where the placenta covers part or all of the opening of the cervix, causing bleeding and possible premature delivery.

Choice D is wrong because preterm labor is not directly caused by gestational diabetes.

Preterm labor is when contractions start before 37 weeks of pregnancy, which can result in a premature birth.However, gestational diabetes can increase the risk of other conditions that can lead to preterm labor, such as polyhydramnios (excess amniotic fluid) or macrosomia (large baby).

A. Intrauterine growth restriction B. Respiratory distress syndrome C. Congenital anomalies D. Macrosomia

Correct Answer is D

Explanation

The correct answer is choice D. Macrosomia.Macrosomia is a condition where the baby grows larger than normal due to excess sugar from the mother’s blood.This can lead to complications such as injuries during delivery, low blood sugar and mineral levels, jaundice, pre-term birth, and breathing problems for the baby.It can also increase the risk of obesity and diabetes later in life for the baby.

Choice A is wrong because intrauterine growth restriction (IUGR) is a condition where the baby grows smaller than normal due to poor nutrition or oxygen supply from the placenta.

Gestational diabetes does not cause IUGR, but other factors such as high blood pressure, smoking, infections, or chromosomal abnormalities can.

Choice B is wrong because respiratory distress syndrome (RDS) is a condition where the baby has difficulty breathing due to immature lungs that lack surfactant, a substance that helps keep the air sacs open.

Gestational diabetes does not directly cause RDS, but it can increase the risk of pre-term birth, which is a major risk factor for RDS.

Choice C is wrong because congenital anomalies are structural or functional defects that are present at birth due to genetic or environmental factors.

Gestational diabetes does not cause congenital anomalies, but it can increase the risk of them if it is present before or during early pregnancy, when the baby’s organs are forming.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is conducting a prenatal class for women who have gestational diabetes. The nurse should inform the women that having gestational diabetes increases their risk of having which of the following complications during pregnancy?

Correct Answer is B

Explanation

A nurse is teaching a pregnant woman who has gestational diabetes about the importance of diagnosing and treating the condition. The nurse should explain that untreated gestational diabetes can lead to which of the following complications for the baby?

Correct Answer is D

Explanation

A nurse is reviewing the laboratory results of a pregnant woman who has gestational diabetes. The nurse expects to find which of the following findings?

A nurse is caring for a pregnant woman who has gestational diabetes and is in labor. The nurse should monitor the woman’s blood glucose levels every how often during labor?

A nurse is evaluating the outcomes of care for a pregnant woman who has gestational diabetes and received insulin therapy during pregnancy. Which of the following findings indicates that the insulin therapy was effective?

A nurse is caring for a pregnant woman who has gestational diabetes and is in labor. The nurse should monitor the woman’s blood glucose levels every how often during labor?

Gestational diabetes is most likely to develop during which trimester of pregnancy?

A nurse is planning care for a pregnant woman who has gestational diabetes and a history of prediabetes. Which of the following interventions should the nurse include in the plan?

A nurse is instructing a pregnant woman who has gestational diabetes on how to use a glucose meter to monitor her blood sugar levels at home. The nurse should tell the woman to do which of the following?

A nurse is assessing a newborn whose mother has gestational diabetes for signs of hypoglycemia. The nurse should check the newborn’s blood glucose level within how many hours after birth?

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?