The nurse is talking to a new nurse about gestational diabetes. Which of the following information should the nurse provide?

This type of diabetes is caused by a decrease in endogenous insulin and/or increased insulin resistance.

This type of diabetes can be medication-induced or related to a medical condition such as pancreatic function or hormonal abnormalities.

Gestational diabetes is caused by the presence of antibodies to insulin so exogenous insulin is needed.

Gestational diabetes is a type of diabetes where glucose intolerance is often transitory.

Answer and Explanation

The Correct Answer is D

A. Gestational diabetes (GDM) is indeed characterized by insulin resistance, which often worsens as the pregnancy progresses. However, the problem is not always a decrease in endogenous insulin but more of a relative insulin resistance in response to the hormones produced during pregnancy.
B. This description is more fitting for other types of diabetes, such as type 2 diabetes, where certain medications or conditions (like pancreatic disease or hormonal issues) can affect insulin production or action. Gestational diabetes is not typically caused by these factors.
C. Gestational diabetes is not caused by antibodies to insulin. It is a form of diabetes that develops during pregnancy due to hormonal changes that lead to insulin resistance. Some women may need insulin therapy to manage it, but this is not due to antibodies to insulin.
D. Gestational diabetes is a type of diabetes where glucose intolerance is often transitory. Gestational diabetes typically develops during pregnancy and often resolves after childbirth. However, women who have had gestational diabetes are at an increased risk of developing type 2 diabetes later in life, even though the condition may resolve postpartum.

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Correct Answer is C

Explanation

A. Hypothyroidism is actually more common in women than men, particularly in middle-aged and older women.
B. Low thyroid hormone levels typically lead to a slower heart rate (bradycardia), not an increased heart rate.
C. Hypothyroidism can cause extreme fatigue is correct. Fatigue is one of the most common symptoms of hypothyroidism due to the slowed metabolic processes resulting from low levels of thyroid hormones.
D. Hypothyroidism is associated with weight gain, not weight loss, due to a slowed metabolism. Unexpected weight loss is more commonly seen in hyperthyroidism.

A. Heart disease B. Chronic lung disorders C. Neurological disorders D. Renal disease

Correct Answer is A

Explanation

A. Hypothyroidism increases the risk for heart disease. The low thyroid hormone levels can lead to higher levels of cholesterol (especially LDL cholesterol) and increased blood pressure, which are risk factors for cardiovascular disease. Additionally, hypothyroidism can slow down heart rate and decrease the heart's pumping efficiency, further contributing to heart problems.
B. Hypothyroidism does not directly increase the risk of chronic lung disorders. While it can cause respiratory issues such as shortness of breath or decreased exercise tolerance, it is not specifically linked to lung diseases like chronic obstructive pulmonary disease (COPD).
C. While hypothyroidism can cause symptoms such as cognitive impairment, depression, and slowing of neurological functions, it does not directly increase the risk of other neurological disorders.
D. While hypothyroidism can contribute to some kidney dysfunction (like mild hyponatremia), it is not a direct risk factor for renal disease. However, untreated hypothyroidism could lead to worsening kidney function over time.

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The nurse is talking to a new nurse about gestational diabetes. Which of the following information should the nurse provide?

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Naxlex Comprehensive Predictor Exams

The nurse is preparing a conference about hypothyroidism for a group of clients. Which of the following information should the nurse include in the conference?

Correct Answer is C

Explanation

The nurse is assessing an older adult client with a diagnosis of hypothyroidism. The nurse understands that the client has an increased risk for which of the following?

Correct Answer is A

Explanation

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