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 D
Explanation
A. Heart rate of 56/min. Bradycardia (HR <60/min) can indicate magnesium toxicity. Magnesium sulfate can depress the central nervous system, leading to cardiac complications.
B. Urine output of 50 mL in 4 hr. Urine output should be at least 30 mL/hr (120 mL in 4 hours). Oliguria (low urine output) may indicate magnesium toxicity due to impaired renal excretion.
C. Diminished deep-tendon reflexes. Mildly decreased reflexes may be expected with magnesium therapy, but absent or significantly diminished deep tendon reflexes (DTRs) are an early sign of magnesium toxicity.
D. Respiratory rate of 16/min. A respiratory rate of ≥12 breaths/min indicates that the client is not experiencing respiratory depression, a major concern with magnesium sulfate toxicity. Magnesium should be discontinued if respiratory rate drops below 12/min.
Correct Answer is A
Explanation
A. Contractions that last for 60 seconds each with a 2-min rest between contractions. If contractions are 3 minutes apart, this means the interval from the start of one contraction to the start of the next is 3 minutes. If each contraction lasts for 60 seconds, there will be a 2-minute rest period before the next contraction begins.
B. Contractions that last for 60 seconds each with a 3-min rest between contractions. This would indicate contractions occurring every 4 minutes, not every 3 minutes.
C. A contraction that lasts 3 min followed by a period of relaxation. A contraction lasting 3 minutes is abnormal and suggests uterine tachysystole, which can be dangerous.
D. Contractions that last 45 seconds each with a 2-min rest between contractions. If contractions last 45 seconds, the remaining rest period would be 2 min 15 sec, not exactly 2 minutes.
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