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 B
Explanation
A. Pyelonephritis in pregnancy does not pose any risks to the fetus. Pyelonephritis can lead to complications such as preterm labor, low birth weight, and maternal sepsis, making this statement incorrect.
B. Untreated pyelonephritis in pregnancy can increase the risk of preterm labor and low birth weight. Pyelonephritis can cause systemic inflammation, leading to complications such as preterm labor and fetal growth restriction. Prompt treatment is necessary to reduce these risks.
C. Pyelonephritis is a common condition during pregnancy. While urinary tract infections (UTIs) are common in pregnancy, pyelonephritis (kidney infection) is less frequent but more serious.
D. Pyelonephritis is a mild infection that does not require treatment. Pyelonephritis is a serious condition that requires immediate antibiotic therapy to prevent maternal and fetal complications.
Correct Answer is ["A","C","D"]
Explanation
A. Weight loss: Severe and prolonged nausea/vomiting leads to weight loss (>5% of pre-pregnancy weight). This is a key feature of hyperemesis gravidarum.
B. Abdominal cramping: Hyperemesis gravidarum does not cause abdominal cramping. Cramping is more associated with miscarriage, ectopic pregnancy, or gastrointestinal conditions.
C. Severe vomiting: Persistent, severe vomiting is the hallmark sign of hyperemesis gravidarum. It is much more severe than typical morning sickness and leads to dehydration and nutritional deficiencies.
D. Electrolyte imbalance: Prolonged vomiting leads to dehydration and loss of essential electrolytes (e.g., hypokalemia, hyponatremia, metabolic alkalosis).
E. Vaginal blood spotting: Hyperemesis gravidarum does not cause vaginal bleeding. Vaginal spotting could indicate a miscarriage or another obstetric complication.
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