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

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

The correct answer is choice D. Notify the provider.

A blood glucose level of 200 mg/dL (11.1 mmol/L) after a meal is too high for a pregnant woman with gestational diabetes and indicates poor glycemic control.

The provider should be informed of this result and may adjust the woman’s treatment plan accordingly.

Choice A is wrong because insulin is not always prescribed for gestational diabetes.

Some women can manage their blood sugar levels with diet and exercise alone.

Insulin should only be administered as prescribed by the provider and not based on a single test result.

Choice B is wrong because drinking water will not lower the blood glucose level significantly.

Water can help prevent dehydration and constipation, which are common problems in pregnancy, but it does not affect insulin sensitivity or glucose metabolism.

Choice C is wrong because repeating the test in 15 minutes will not change the outcome.

A blood glucose level of 200 mg/dL (11.1 mmol/L) after a meal is clearly abnormal and needs immediate attention.

Delaying the notification of the provider may increase the risk of complications for the woman and her baby.

According to Diabetic.org, the normal blood glucose levels for gestational diabetes are:

• Fasting: less than 95 mg/dL (5.3 mmol/L)

• One hour after a meal: less than 140 mg/dL (7.8 mmol/L)

• Two hours after a meal: less than 120 mg/dL (6.7 mmol/L)

These levels may vary slightly depending on the clinic or lab, but

A. Breastfeed your baby for at least six months B. Take oral antidiabetic drugs as prescribed C. Have your blood glucose levels checked every six months. D. Follow a low-protein, high-fat diet

Correct Answer is A

Explanation

The correct answer is choice A. Breastfeed your baby for at least six months.According to the CDC, breastfeeding can lower the risk of type 2 diabetes for both mothers and babies.

Breastfeeding can also help mothers lose weight after delivery and improve blood sugar control.

Choice B is wrong because oral antidiabetic drugs are not recommended for women with gestational diabetes.

Instead, they should monitor their blood glucose levels and follow a healthy eating plan and physical activity routine.If these measures are not enough, they may need insulin injections.

Choice C is wrong because having blood glucose levels checked every six months is not enough to prevent type 2 diabetes after delivery.Women with gestational diabetes should have their blood glucose tested 6 to 12 weeks after their baby is born and then every 1 to 3 years to make sure their levels are on target.

Choice D is wrong because following a low-protein, high-fat diet is not a good way to prevent type 2 diabetes after delivery.

A high-fat diet can increase the risk of obesity, heart disease, and insulin resistance.Women with gestational diabetes should follow a balanced diet that includes lean protein, healthy fats, whole grains, fruits, and vegetables.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is evaluating the blood glucose levels of a pregnant woman who has gestational diabetes after a meal. The nurse notes that the woman has a blood glucose level of 200 mg/dL. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is counseling a pregnant woman who has gestational diabetes and wants to know how to prevent type 2 diabetes after delivery. Which of the following recommendations should the nurse give?

Correct Answer is A

Explanation

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?

A nurse is instructing a client with gestational diabetes on carbohydrate counting. Which of the following statements by the client indicates understanding of the teaching?

Gestational diabetes increases the risk of which of the following complications during pregnancy?

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 administering insulin to 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 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 teaching a pregnant woman who has gestational diabetes about how to recognize and manage symptoms of hyperglycemia after delivery. Which of the following statements by the woman indicates an understanding of the teaching?

A nurse is administering insulin to a pregnant woman who has gestational diabetes and is experiencing symptoms of hyperglycemia. The nurse should use which of the following types of insulin to provide rapid-acting blood glucose control?