The long-term implications of gestational diabetes primarily include an increased risk of developing

Hypothyroidism

Asthma

Type 2 diabetes

Breast cancer

Answer and Explanation

The Correct Answer is C

The correct answer is

C. Type 2 diabetes.

Gestational diabetes (GDM) is a condition where the blood sugar levels are higher than normal during pregnancy. It usually goes away after giving birth, but it can increase the risk of developing type 2 diabetes later in life.

Type 2 diabetes is a chronic condition that affects how the body uses glucose (sugar) for energy. It can cause serious complications such as heart disease, kidney damage, nerve damage, eye problems and more.

A. Hypothyroidism is a condition where the thyroid gland does not produce enough thyroid hormones, which regulate the metabolism and other body functions.

It can cause symptoms such as fatigue, weight gain, depression, dry skin and hair loss. Hypothyroidism is not directly linked to gestational diabetes, but it can affect pregnancy outcomes and increase the risk of miscarriage, preterm birth and low birth weight.

B. Asthma is a condition where the airways become inflamed and narrow, making it hard to breathe.

It can cause symptoms such as wheezing, coughing, chest tightness and shortness of breath. Asthma is not directly linked to gestational diabetes, but it can affect pregnancy outcomes and increase the risk of preterm birth, low birth weight and preeclampsia.

D. Breast cancer is a type of cancer that starts in the breast tissue.

It can cause symptoms such as a lump in the breast, nipple discharge, skin changes and pain. Breast cancer is not directly linked to gestational diabetes, but it can be influenced by hormonal factors such as estrogen and progesterone levels, which may change during pregnancy and after menopause.

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Correct Answer is B

Explanation

The correct answer is choice B. The woman delivered a healthy baby who weighed 3 kg (6.6 lb) at birth.This indicates that the insulin therapy was effective in preventing macrosomia, which is a common complication of gestational diabetes mellitus (GDM).Macrosomia is defined as a birth weight above the 90th percentile for gestational age or above 4 kg (8.8 lb).Macrosomia increases the risk of birth trauma, shoulder dystocia, cesarean section, and neonatal hypoglycemia.

Choice A is wrong because normal blood pressure and urine protein levels throughout pregnancy are not specific indicators of insulin therapy effectiveness.They are more related to the prevention of pre-eclampsia, which is a separate complication of pregnancy that can affect women with or without GDM.

Choice C is wrong because having no episodes of hypoglycemia or hyperglycemia during pregnancy is not sufficient to indicate insulin therapy

A. Every hour B. Every two hours C. Every four hours D. Every six hours

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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The long-term implications of gestational diabetes primarily include an increased risk of developing

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Naxlex Comprehensive Predictor Exams

A nurse is evaluating the outcomes of care for a pregnant woman who has gestational diabetes and received insulin therapy during pregnancy. Which of the following findings indicates that the insulin therapy was effective?

Correct Answer is B

Explanation

A nurse is caring for 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?

Correct Answer is A

Explanation

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?

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?

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 conducting a prenatal class for women who have gestational diabetes. The nurse should inform the women that having gestational diabetes increases their risk of having which of the following complications during pregnancy?

A nurse is assessing a newborn whose mother has gestational diabetes for signs of hypoglycemia. The nurse should check the newborn’s blood glucose level within how many hours after birth?

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

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?

A nurse is teaching a pregnant woman who has gestational diabetes about how to prevent type 2 diabetes in the future. Which of the following statements by the woman indicates an understanding of the teaching?