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Question 1:

A nurse is providing education to a pregnant woman diagnosed with gestational diabetes.

The nurse explains that gestational diabetes primarily affects ?

Explanation

The correct answer is choice B.Gestational diabetes primarily affects the baby’s growth and development.Gestational diabetes is a condition in which women develop high blood sugar during pregnancy due to hormonal changes or insufficient insulin production.This can cause the baby to grow larger than usual, which can lead to difficulties during delivery and increase the risk of cesarean section.It can also cause other complications for the baby, such as low blood sugar, jaundice, respiratory distress syndrome, and future diabetes.

Choice A is wrong because gestational diabetes does not affect blood pressure levels during pregnancy.However, high blood pressure during pregnancy can be a sign of another condition called preeclampsia, which can also cause complications for the mother and the baby.

Choice C is wrong because gestational diabetes does not affect the woman’s ability to produce insulin.

Rather, it affects how the cells use insulin to control blood sugar levels.The woman may need to take insulin injections or oral medications to manage her blood sugar levels during pregnancy.

Choice D is wrong because gestational diabetes does not affect the woman’s blood sugar levels after giving birth.

In most cases, gestational diabetes goes away after the baby is born.However, the woman may have a higher risk of developing type 2 diabetes later in life.

Normal ranges for blood sugar levels during pregnancy are:

• Before meals: 95 mg/dL or less

• One hour after meals: 140 mg/dL or less

• Two hours after meals: 120 mg/dL or less


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Question 2:

A client with gestational diabetes asks the nurse about the timing of when gestational diabetes typically occurs.

The nurse responds by saying that it usually develops:.

Explanation

The correct answer is choice C.Gestational diabetes usually develops in thesecond or third trimester of pregnancy, when the body’s cells become more resistant to insulin due to hormonal changes.

Insulin is a hormone that helps the body use glucose (sugar) for energy.

Choice A is wrong because gestational diabetes does not develop in thefirst trimester of pregnancy.In fact, some women may have undiagnosed diabetes or pre-diabetes before they get pregnant, which can be detected by early screening.

Choice B is wrong because gestational diabetes does not developafter the baby is born.

For most women with gestational diabetes, the diabetes goes away soon after delivery.However, some women may have persistent diabetes or pre-diabetes that requires further testing and management.

Choice D is wrong because gestational diabetes does not developbefore pregnancy.Gestational diabetes is a type of diabetes that can develop during pregnancy in women who don’t already have diabetes.However, some women may have risk factors for developing gestational diabetes, such as being overweight, having a family history of diabetes, or having a previous history of GDM or macrosomia.


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Question 3:

A nurse is discussing the long-term implications of gestational diabetes with a client.

The nurse explains that gestational diabetes increases the risk of developing which type of diabetes in the future?

Explanation

The correct answer is choice B. Type 2 diabetes.

Gestational diabetes is a condition that occurs when the body is not able to use insulin properly during pregnancy, which can cause high blood sugar levels.Gestational diabetes usually goes away after the baby is born, but it increases the risk of developing type 2 diabetes later in life.Type 2 diabetes is a chronic condition that affects how the body processes glucose, and it can be caused by genetic or lifestyle factors, such as obesity or physical inactivity.

Choice A is wrong because type 1 diabetes is an autoimmune disease that destroys the insulin-producing cells in the pancreas, and it is not related to gestational diabetes.

Choice C is wrong because gestational diabetes is not a type of diabetes, but a temporary condition that only affects pregnant women.

Choice D is wrong because prediabetes is a state of impaired glucose tolerance that can precede type 2 diabetes, but it is not a type of diabetes itself.Prediabetes can also be reversed with lifestyle changes, unlike type 2 diabetes.


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Question 4:

A client with gestational diabetes is concerned about the impact of the condition on the baby's health.

The nurse reassures the client by explaining that gestational diabetes primarily affects the baby's:.

Explanation

The correct answer is choice D. Growth and development.

Gestational diabetes is a condition in which women develop high blood sugar during pregnancy.

This can affect the baby’s growth and development, as the excess glucose from the mother crosses the placenta and causes the baby to produce more insulin.This can lead to macrosomia, or a “fat” baby, which can cause complications during birth and increase the risk of obesity and diabetes later in life.

Choice A is wrong because gestational diabetes does not affect the baby’s vision.

Choice B is wrong because gestational diabetes does not affect the baby’s hearing.

Choice C is wrong because gestational diabetes does not affect the baby’s heart directly, although it can increase the risk of high blood pressure and preeclampsia in the mother.


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Question 5:

A nurse is teaching a pregnant woman with gestational diabetes about lifestyle modifications.

Which statement by the client indicates an understanding of the teaching?

Explanation

The correct answer is choice C. Regular exercise can help control blood sugar levels.This is because exercise can improve insulin sensitivity and lower blood glucose levels.Exercise is an important part of lifestyle modifications for women with gestational diabetes, along with dietary changes.

Choice A is wrong because carbohydrates are an essential macronutrient that provide energy and nutrients for the mother and the fetus.Women with gestational diabetes should not avoid all carbohydrates, but rather choose complex carbohydrates that have a low glycemic index and limit the portion size.

Choice B is wrong because a sedentary lifestyle can increase the risk of developing type 2 diabetes after gestational diabetes.Women with gestational diabetes should be encouraged to be physically active for at least 30 minutes a day, most days of the week.

Choice D is wrong because monitoring blood glucose levels regularly is essential for managing gestational diabetes and preventing complications.Women with gestational diabetes should check their blood glucose levels at least four times a day: before breakfast and one hour after each meal.


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