A nurse is teaching a group of pregnant women about risk factors for gestational diabetes.
Which of the following statements by one of the women indicates a need for further teaching?
"I should lose weight before I get pregnant if I have a high BMI.".
"I should tell my doctor if I have a family history of diabetes.".
"I should avoid getting pregnant after I turn 40 years old.".
"I should have my baby weighed at every prenatal visit.".
The Correct Answer is D
The correct answer is choice D. “I should have my baby weighed at every prenatal visit.” This statement indicates a need for further teaching because having the baby weighed at every prenatal visit is not a way to prevent or detect gestational diabetes. Gestational diabetes is a condition in which women develop high blood sugar during pregnancy due to hormonal changes and insufficient insulin production. It can cause complications for the mother and the baby, such as high blood pressure, heavy birth weight, premature delivery, low blood sugar and future diabetes.
Choice A is wrong because losing weight before getting pregnant if one has a high BMI is a good way to reduce the risk of gestational diabetes. Obesity is one of the biggest risk factors for developing gestational diabetes, as it affects the body’s ability to use insulin effectively.
Choice B is wrong because telling the doctor if one has a family history of diabetes is also a good way to reduce the risk of gestational diabetes. Having a parent or sibling with diabetes increases the likelihood of developing gestational diabetes, as it may indicate a genetic predisposition to insulin resistance.
Choice C is wrong because avoiding getting pregnant after 40 years old is another good way to reduce the risk of gestational diabetes. Maternal age is one of the most important independent risk factors for gestational diabetes, as older women tend to have more insulin resistance and less beta-cell function than younger women.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Lispro insulin is a rapid-acting insulin that starts to work within 15 minutes and lasts for 2 to 4 hours.It is used to provide blood glucose control before meals for people with diabetes.A pregnant woman with gestational diabetes who is experiencing symptoms of hyperglycemia needs rapid-acting blood glucose control to prevent complications for herself and her baby.
Choice A is wrong because regular insulin is a short-acting insulin that starts to work within 30 minutes and lasts for 5 to 8 hours.It is not as fast as lispro insulin and may not provide adequate blood glucose control for a pregnant woman with hyperglycemia.
Choice B is wrong because NPH insulin is an intermediate-acting insulin that starts to work within 2 to 4 hours and lasts for 10 to 18 hours.It is used to provide background insulin throughout the day and night, but it is not suitable for rapid-acting blood glucose control.
Choice C is wrong because glargine insulin is a long-acting insulin that starts to work within 1 to 2 hours and lasts for 24 hours.It is used to provide steady insulin levels between meals and overnight, but it is not appropriate for rapid-acting blood glucose control.
Correct Answer is C
Explanation
The correct answer is choice C. “I will monitor my portion sizes and calculate the number of carbohydrates I consume.” This statement indicates that the client understands the concept of carbohydrate counting, which is a method of planning meals based on the amount and type of carbohydrates in foods.
Carbohydrate counting helps to control blood glucose levels by matching insulin or medication doses to carbohydrate intake.
Choice A is wrong because protein intake does not directly affect blood glucose levels, although it is important to consume adequate protein for overall health and fetal development.
Choice B is wrong because fruits and vegetables are good sources of carbohydrates, vitamins, minerals, and fiber, and should not be avoided.
However, they should be counted as part of the total carbohydrate intake.
Choice D is wrong because consuming unlimited amounts of carbohydrates, even from whole grains, can cause hyperglycemia and complications for the mother and the fetus.
Whole grains are preferable to refined grains because they have more fiber and nutrients, but they still need to be measured and counted as carbohydrates.
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