Gestational diabetes increases the risk of which of the following complications during pregnancy?
Preterm labor
Preeclampsia
Ectopic pregnancy
Placenta previa
The Correct Answer is B
The correct answer is choice B. Preeclampsia. Gestational diabetes increases the risk of high blood pressure and preeclampsia, a serious complication of pregnancy that causes high blood pressure and other symptoms that can threaten both the mother’s and the baby’s life.
Choice A is wrong because preterm labor is not directly caused by gestational diabetes, although it may be done to prevent complications from preeclampsia or a large baby.
Choice C is wrong because ectopic pregnancy is not related to gestational diabetes. Ectopic pregnancy occurs when the fertilized egg implants outside the uterus, usually in the fallopian tube.
Choice D is wrong because placenta previa is not associated with gestational diabetes. Placenta previa occurs when the placenta covers part or all of the opening of the cervix.
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Naxlex Comprehensive Predictor Exams
Related Questions
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 maternal blood glucose levels around the time of delivery are directly related to the risk of neonatal hypoglycemia.Therefore, achieving maternal euglycemia in women with gestational diabetes mellitus is critical to decreasing the risk of neonatal complications.
Choice B is wrong because every two hours is not frequent enough to ensure optimal glucose control during labor.
Choice C is wrong because every four hours is even less frequent and may miss significant fluctuations in blood glucose levels.
Choice D is wrong because every six hours is too infrequent and may put the mother and the baby at risk of adverse outcomes.
The maternal glucose should be maintained between 4.0 and 6.0-7.0 mmol/L during labor.Most women with gestational diabetes, especially if they require less than 1.0 units/kg/d of insulin, can simply be monitored without intravenous insulin.However, women who are taking medication for gestational diabetes require more frequent glucose monitoring, typically with hourly evaluations.
Correct Answer is C
Explanation
Polycythemia is a condition where the baby has too many red blood cells, which can cause blood clots and other problems.It can occur in newborns whose mothers have gestational diabetes because of the high blood sugar levels in the mother’s blood.
Choice A is wrong because macrosomia is not a complication, but a risk factor for gestational diabetes.Macrosomia means having a large baby, which can cause difficulties during delivery and increase the need for a C-section.
Choice B is wrong because hypothermia is not a common complication of gestational diabetes.
Hypothermia means having a low body temperature, which can occur in newborns for various reasons, such as infection, prematurity, or exposure to cold.
Choice D is wrong because hyperglycemia is not a complication of gestational diabetes, but a cause of it.
Hyperglycemia means having high
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