The primary risk factor for gestational diabetes is?
Advanced maternal age
Family history of diabetes
Smoking during pregnancy
Previous history of gestational diabetes
The Correct Answer is A
The correct answer is choice D. Previous history of gestational diabetes. This is because having gestational diabetes in a previous pregnancy increases the risk of developing it again in a subsequent pregnancy. According to the CDC, about 50% of women with gestational diabetes go on to develop type 2 diabetes later in life.
Choice A is wrong because advanced maternal age is not a primary risk factor for gestational diabetes, although it may increase the risk slightly.
Choice B is wrong because family history of diabetes is not a primary risk factor for gestational diabetes, although it may indicate a genetic predisposition to insulin resistance.
Choice C is wrong because smoking during pregnancy is not a primary risk factor for gestational diabetes, although it may have other adverse effects on the mother and the baby.
Some of the other risk factors for gestational diabetes include obesity, hormonal changes, polycystic ovary syndrome, and pregnancy over 30 years of age. Gestational diabetes can cause complications such as high blood pressure, preeclampsia, large birth weight, premature delivery, respiratory distress syndrome, and low blood sugar in the baby. Gestational diabetes can be managed with a healthy diet, exercise, and medication if needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
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?.
A. “I should have my blood glucose levels checked every year.”.
B. “I should avoid breastfeeding my baby.”.
C. “I should gain weight gradually after delivery.”.
D. “I should take oral antidiabetic drugs as prescribed.
Answer and explanation..
The correct answer is choice A.“I should have my blood glucose levels checked every year.” This statement indicates that the woman understands that she is at high risk of developing type 2 diabetes after having gestational diabetes and that regular screening can help detect it early and prevent complications.
Choice B is wrong because breastfeeding can actually lower the risk of type 2 diabetes in women who had gestational diabetes.Breastfeeding can also benefit the baby by reducing the risk of obesity and diabetes later in life.
Choice C is wrong because gaining weight gradually after delivery can increase the risk of type 2 diabetes in women who had gestational diabetes.
Losing excess weight and
Correct Answer is A
Explanation
The correct answer is choice A. Monitor her blood glucose levels regularly and keep them within the target range.This is because gestational diabetes can cause high blood sugar that can affect the pregnancy and the baby’s health.High blood sugar can increase the risk of premature birth and other complications.
By monitoring and controlling blood glucose levels, the woman can reduce these risks and have a healthier pregnancy.
Choice B is wrong because drinking plenty of fluids and avoiding caffeine and alcohol are general recommendations for pregnant women, but they do not specifically prevent preterm birth due to gestational diabetes.
Choice C is wrong because progesterone supplements are used to prevent preterm birth in women who have a history of spontaneous preterm birth or a short cervix, but they are not indicated for women with gestational diabetes.
Choice D is wrong because pelvic floor exercises and avoiding lifting heavy objects are also general recommendations for pregnant women, but they do not directly prevent preterm birth due to gestational diabetes.Pelvic floor exercises can help with urinary incontinence and pelvic organ prolapse, while avoiding lifting heavy objects can prevent back pain and injury.
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