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

First trimester

Second trimester

Third trimester

Postpartum period

Answer and Explanation

The Correct Answer is B

The correct answer is choice B. Second trimester.

Gestational diabetes is high blood sugar that develops during pregnancy and usually disappears after giving birth. It can happen at any stage of pregnancy, but is more common in the second or third trimester. This is because hormonal changes that occur during pregnancy can affect the body’s ability to produce enough insulin, a hormone that helps control blood sugar levels.

Choice A is wrong because gestational diabetes is less likely to develop during the first trimester, when the hormonal changes are not as significant.

Choice C is wrong because gestational diabetes is usually diagnosed and treated before the third trimester, to prevent complications for the mother and the baby.

Choice D is wrong because gestational diabetes is not a postpartum condition, although some women may have a higher risk of developing type 2 diabetes later in life if they had gestational diabetes.

Normal ranges for blood sugar levels during pregnancy are:

• Before meals: 60 to 95 mg/dL

• One hour after meals: 100 to 129 mg/dL

• Two hours after meals: 70 to 119 mg/dL

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Correct Answer is D

Explanation

The correct answer is choice D. Teach the woman how to check her blood glucose levels at home.This is because gestational diabetes is a condition where the blood glucose levels are higher than normal during pregnancy, and it can affect the health of the mother and the baby.By checking her blood glucose levels at home, the woman can monitor her condition and adjust her treatment accordingly.

Choice A is wrong because increasing the intake of complex carbohydrates can raise the blood glucose levels and worsen gestational diabetes.Instead, the woman should follow a healthy eating plan that balances carbohydrates with protein and fat.

Choice B is wrong because blood pressure and urine protein levels are not directly related to gestational diabetes.They are more relevant for preeclampsia, a different complication of pregnancy that involves high blood pressure and kidney damage.

Choice C is wrong because limiting physical activity during pregnancy can increase the risk of gestational diabetes and other problems.Physical activity can help lower blood glucose levels, improve blood pressure and cholesterol levels, relieve stress, and prevent excessive weight gain.The woman should aim for 30 minutes of moderate activity at least 5 days a week, unless her doctor advises otherwise.

A. Fetal distress B. Uterine atony C. Maternal hypothermia D. Placental abruption

Correct Answer is A

Explanation

The correct answer is choice A. Fetal distress.According to the search results, maternal hyperglycemia during labor is highly associated with macrosomia in neonates, which can lead to fetal distress due to shoulder dystocia, birth trauma, or hypoxia.

Fetal distress can be detected by abnormal fetal heart rate patterns or meconium-stained amniotic fluid.

Choice B. Uterine atony is wrong because it is not a direct complication of hyperglycemia during labor.

Uterine atony is a failure of the uterus to contract after delivery, which can cause postpartum hemorrhage.

It can be caused by multiple factors such as prolonged labor, overdistension of the uterus, infection, or medications.

Choice C. Maternal hypothermia is wrong because it is not a common complication of hyperglycemia during labor.

Maternal hypothermia can occur due to exposure to cold environment, anesthesia, or infection.

It can affect the maternal and fetal metabolism and oxygenation.

Choice D. Placental abruption is wrong because it is not a direct complication of hyperglycemia during labor.

Placental abruption is a premature separation of the placenta from the uterine wall, which can cause fetal and maternal hemorrhage, hypoxia, and shock.

It can be caused by trauma, hypertension, smoking, or cocaine use.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

A nurse is assessing a pregnant woman who has gestational diabetes for complications of hyperglycemia during labor and delivery. The nurse should monitor the woman for which of the following signs and symptoms?

Correct Answer is A

Explanation

A nurse is providing education to a pregnant client who is 42 years old. The nurse explains that advanced maternal age increases the risk of which condition during pregnancy?

A client with a body mass index (BMI) of 32 asks the nurse about the potential risks during pregnancy. The nurse explains that an elevated BMI increases the risk of developing:.

A nurse is preparing a pregnant woman for a glucose tolerance test to screen for gestational diabetes. The nurse should instruct the woman to do which of the following before the test?

A nurse is assessing a pregnant client's medical history. Which factor increases the client's risk of developing gestational diabetes?

A nurse is evaluating the effectiveness of nursing interventions for a pregnant woman who has gestational diabetes and received nutritional therapy and exercise counseling during pregnancy. Which of the following outcomes indicates that the interventions were successful?

A nurse is reviewing the antenatal care plan for a pregnant woman who has gestational diabetes and is taking oral antidiabetic drugs. The nurse should expect the woman to have which of the following tests to monitor the effects of the medication on the baby?

A nurse is reviewing the antenatal care plan for a pregnant woman who has gestational diabetes and is taking oral antidiabetic drugs. The nurse should expect the woman to have which of the following tests to monitor the effects of the medication on the baby?

A nurse is teaching a pregnant woman who has gestational diabetes about the possible complications of uncontrolled blood sugar levels. The nurse should explain that high blood sugar levels can increase the risk of which of the following infections?