What is a potential challenge for vegetarians on a gestational diabetic diet in pregnancy?
Excessive carbohydrate intake
Difficulty managing blood sugar levels
Limited protein sources
Lack of essential vitamins and minerals
The Correct Answer is A
A. Excessive carbohydrate intake: Many vegetarian protein sources (e.g., legumes, whole grains, fruits) are also high in carbohydrates, making blood sugar control more challenging for clients with gestational diabetes.
B. Difficulty managing blood sugar levels: While managing blood sugar can be a challenge, the root cause is often excessive carbohydrate intake rather than inherent difficulty in regulation.
C. Limited protein sources: While vegetarian diets limit animal protein, many plant-based protein sources (e.g., tofu, lentils, nuts) are available, making this less of a concern.
D. Lack of essential vitamins and minerals: A well-balanced vegetarian diet can provide all essential nutrients with proper planning. However, vegetarians should monitor vitamin B12, iron, and omega-3 intake, but this is not the biggest challenge specific to gestational diabetes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. No displacement of the gravid uterus is necessary during CPR on a pregnant woman. Displacement of the uterus is necessary in a pregnant woman (especially after 20 weeks gestation) to prevent supine hypotension syndrome.
B. Apply pressure on the abdomen above the umbilicus to displace the uterus. Applying pressure above the umbilicus is not an effective method of uterine displacement. The correct technique involves manual displacement to the left or tilting the woman to the left.
C. Tilt the woman's pelvis to the left to relieve pressure on the inferior vena cava. Tilting the uterus to the left helps relieve compression on the inferior vena cava, improving venous return and cardiac output. This is essential during CPR to optimize blood flow to the mother and fetus.
D. Apply pressure directly on the gravid uterus to maintain blood flow to the fetus. Applying direct pressure on the uterus could further compromise circulation rather than improving it.
Correct Answer is C
Explanation
A. Continuous fetal monitoring. Clients with severe preeclampsia are at high risk for placental insufficiency and fetal distress, making continuous fetal monitoring necessary.
B. Assess deep tendon reflexes every hour. Deep tendon reflexes (DTRs) are monitored closely in preeclampsia to assess for hyperreflexia, which may indicate worsening condition or impending eclampsia.
C. Ambulate twice daily. Ambulation is not recommended for severe preeclampsia due to the risk of seizures, hypertensive crisis, and placental abruption. Clients are typically on bed rest with seizure precautions.
D. Obtain a daily weight.: Daily weight monitoring helps track fluid retention and worsening edema, which are important indicators of disease progression in preeclampsia.
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