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 A
Explanation
The correct answer is
A. Polyuria, polydipsia, and polyphagia.
These are the classic signs and symptoms of diabetes, which occur due to high blood sugar levels.Gestational diabetes is a type of diabetes that develops during pregnancy and can affect the health of the mother and the baby.
B. Hypotension, bradycardia, and bradypnea.
Statement is wrong because these are signs of low blood pressure, low heart rate, and low breathing rate, which are not related to gestational diabetes.
C. Nausea, vomiting, and abdominal pain.
Statement is wrong because these are signs of ketoacidosis, a serious complication of diabetes that occurs when the body breaks down fat for energy and produces ketones.Ketoacidosis is rare in gestational diabetes and usually affects people with type 1 diabetes.
D. Headache, blurred vision, and drowsiness.
Statement is wrong because these are signs of hyperglycemia (high blood sugar) or hypertensive disorders (high blood pressure), which can occur in gestational diabetes but are not specific to it.They can also be caused by other conditions such as dehydration, infection, or preeclampsia.
Normal ranges for blood sugar levels during pregnancy are:
• Before meals: 3.5 to 5.9 mmol/L (63 to 106 mg/dL)
• One hour after meals: 7.8 mmol/L (140 mg/dL) or less
• Two hours after meals: 6.4 mmol/L (115 mg/dL) or less
Correct Answer is A
Explanation
The correct answer is choice A. The nurse should monitor the woman’s blood glucose levels every hour during labor.This is because the maternal glucose level should be maintained between 4.0 and 6.0-7.0 mmol/L during labor to prevent neonatal hypoglycemia.
Choice B is wrong because monitoring every two hours may not be frequent enough to detect and correct any fluctuations in blood glucose levels.
Choice C is wrong because monitoring every four hours is too infrequent and may increase the risk of complications for the mother and the baby.
Choice D is wrong because monitoring every six hours is even more infrequent and may lead to poor outcomes.
Normal ranges for blood glucose levels during pregnancy are:
• Fasting or preprandial: < 95 mg/dL
• Postprandial (1 hour): < 140 mg/dL
• Postprandial (2 hours): < 120 mg/dL
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