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 A
Explanation
A. Variable decelerations are due to umbilical cord compression. Variable decelerations are characterized by abrupt decreases in FHR, often with a "V" or "U" shape. They are caused by umbilical cord compression, which disrupts fetal oxygenation.
B. Variable decelerations are a result of the administration of IV narcotic analgesics. Narcotic analgesics (e.g., morphine, fentanyl) cause decreased FHR variability and prolonged decelerations, not variable decelerations.
C. Variable decelerations are caused by uteroplacental insufficiency. Uteroplacental insufficiency causes late decelerations, not variable decelerations.
D. Variable decelerations are related to fetal head compression. Fetal head compression causes early decelerations, which are gradual and mirror contractions, unlike variable decelerations.
Correct Answer is C
Explanation
A. Maternal heart rate: While the maternal heart rate is important, it is not directly related to interpreting FHR patterns. However, it is necessary to differentiate between the maternal and fetal heart rate on the monitor.
B. Gestational age: While gestational age affects fetal heart rate (younger fetuses tend to have higher baseline rates), it is not a direct component of FHR interpretation.
C. Uterine contractions: Uterine contractions are crucial in FHR interpretation because they influence perfusion to the fetus. Decelerations occurring with contractions may indicate fetal distress (e.g., late decelerations suggest uteroplacental insufficiency).
D. Presence of accelerations and decelerations: Accelerations and decelerations provide key information about fetal well-being. Accelerations indicate fetal well-being, while decelerations may signal hypoxia, cord compression, or uteroplacental insufficiency.
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