The primary risk factor for gestational diabetes is?

Advanced maternal age

Family history of diabetes

Smoking during pregnancy

Previous history of gestational diabetes

Answer and Explanation

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.

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Correct Answer is C

Explanation

The correct answer is choice C.Being older than 25 years at the time of pregnancy is a risk factor for developing gestational diabetes.Gestational diabetes is a type of diabetes that can develop during pregnancy in women who don’t already have diabetes.It occurs when the body can’t make enough insulin during pregnancy.

Choice A is wrong because being underweight before pregnancy is not a risk factor for gestational diabetes.In fact, obesity is one of the biggest risk factors for gestational diabetes.

Choice B is wrong because having a history of infertility or miscarriage is not a risk factor for gestational diabetes.However, having a family history of diabetes is a risk factor for gestational diabetes.

Choice D is wrong because having a family history of autoimmune diseases is not a risk factor for gestational diabetes.

Autoimmune diseases are conditions where the immune system attacks the body’s own tissues, such as type 1 diabetes or rheumatoid arthritis.Gestational diabetes is not an autoimmune disease, but rather a disorder of insulin resistance and secretion.

A. Elevated serum ketones B. Decreased serum osmolality C. Elevated urine specific gravity D. Decreased blood pH

Correct Answer is C

Explanation

The correct answer is choice C. Elevated urine specific gravity.

This is because hyperglycemia causes osmotic diuresis, which increases the concentration of solutes in the urine.

Urine specific gravity is a measure of the density of urine compared to water and reflects the amount of solutes in the urine.A normal range for urine specific gravity is 1.005 to 1.030.

Choice A is wrong because elevated serum ketones are a sign of ketoacidosis, which is a complication of diabetes mellitus type 1, not gestational diabetes.Ketoacidosis occurs when the body breaks down fat for energy due to insufficient insulin and produces ketones, which are acidic byproducts that can lower the blood pH.

Choice B is wrong because decreased serum osmolality indicates dilution of the blood, which can be caused by excessive fluid intake, diuretic use, or syndrome of inappropriate antidiuretic hormone (SIADH).

Serum osmolality is a measure of the concentration of solutes in the blood and reflects the balance between water and electrolytes.A normal range for serum osmolality is 275 to 295 mOsm/kg.

Choice D is wrong because decreased blood pH indicates acidosis, which can be caused by ketoacidosis, lactic acidosis, renal failure, or respiratory failure.

Blood pH is a measure of the acidity or alkalinity of the blood and reflects the balance between carbon dioxide and bicarbonate.A normal range for blood pH is 7.35 to 7.45.

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The primary risk factor for gestational diabetes is?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A nurse is reviewing the laboratory results of a pregnant woman who has gestational diabetes and is experiencing symptoms of hyperglycemia. The nurse expects to find which of the following findings?

Correct Answer is C

Explanation

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 explaining the role of insulin in glucose metabolism to a pregnant woman who has gestational diabetes. The nurse should tell the woman that insulin is a hormone that does which of the following?

A nurse is evaluating the blood glucose levels of a pregnant woman who has gestational diabetes after a glucose tolerance test. Which of the following results indicates that the woman has impaired glucose tolerance?

A nurse is assessing a pregnant woman who has gestational diabetes for possible complications. The nurse should monitor the woman for which of the following signs and symptoms?

A client with a history of impaired glucose tolerance asks the nurse about the potential impact on her current pregnancy. The nurse explains that impaired glucose tolerance increases the risk of developing:.

A nurse is providing education to a pregnant client of Middle Eastern origin. The nurse explains that which factor increases the client's risk of developing gestational diabetes?

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 caring for a pregnant woman who has gestational diabetes and is in labor. The nurse should monitor the woman for which of the following complications that can result from uncontrolled blood sugar levels?