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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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Polyuria, a common symptom in uncontrolled diabetes mellitus, can lead to excessive urinary loss of potassium, increasing the risk of hypokalemia. Monitoring serum potassium is crucial because imbalances can affect cardiac and muscle function.
B. While magnesium is important, it is not the primary concern in the context of polyuria related to diabetes unless specific symptoms or complications suggest a deficiency.
C. Calcium is not as directly affected by polyuria from diabetes as potassium is.
D. Chloride levels may fluctuate with fluid loss, but potassium remains the more critical electrolyte to monitor in this scenario.

A. Encourage the client to take the medication with food B. Instruct the client to try acetaminophen, aspirin or caffeine compounds instead. C. Instruct the client to stop taking the medication and speak with the health care provider. D. Tell the client she may need to increase the dose while pregnant.

Correct Answer is C

Explanation

A. Taking naproxen with food can reduce gastrointestinal upset, but this does not address its potential harm during pregnancy.
B. Acetaminophen is generally considered safe during pregnancy, but aspirin and caffeine compounds may carry risks and should not be recommended without provider guidance.
C. Instruct the client to stop taking the medication and speak with the health care provider is correct. Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that is generally not recommended during pregnancy, especially in the third trimester, due to potential risks such as premature closure of the ductus arteriosus and impaired fetal renal function. The client should stop taking the medication and consult with the provider for safer alternatives.
D. Increasing the dose of a potentially harmful medication during pregnancy is inappropriate and could increase risk to the fetus.

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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

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