Gestational Diabetes > Maternal & Newborn
Exam Review
Symptoms
Total Questions : 6
Showing 6 questions, Sign in for moreA nurse is assessing a pregnant client who reports increased urination and excessive thirst.
These symptoms are most likely indicative of:.
Explanation
The correct answer is choice A. Gestational diabetes is a condition in which women develop high blood sugar during pregnancy.It may not cause any symptoms at first, but as it progresses, it may cause increased thirst, frequent urination, excessive sweating, fatigue and overweight.
These symptoms are most likely indicative of gestational diabetes because they are similar to the symptoms of type 2 diabetes, which is also caused by insulin resistance.
Choice B is wrong because urinary tract infection (UTI) is an infection of the urinary system that can cause pain or burning during urination, cloudy or bloody urine, fever, pelvic pain or pressure and lower back pain.
These symptoms are different from those of gestational diabetes.
Choice C is wrong because dehydration is a condition in which the body loses more water than it takes in.It can cause dry mouth, thirst, headache, dizziness, fatigue and decreased urine output.
These symptoms are not specific to gestational diabetes and can be caused by many other factors.
Choice D is wrong because preterm labor is a condition in which contractions start before the 37th week of pregnancy
A client presents to the healthcare clinic with complaints of fatigue and blurred vision during her pregnancy.
The nurse suspects these symptoms may be related to:.
Explanation
The correct answer is choice A. Gestational diabetes is a condition in which women develop high blood sugar during pregnancy.It may cause symptoms such as increased thirst, frequent urination, excessive sweating, overweight, and fatigue.Blurred vision can also be a sign of high blood sugar.
Choice B is wrong because iron deficiency anemia causes symptoms such as pale skin, weakness, shortness of breath, and fast heartbeat.
It does not cause blurred vision.
Choice C is wrong because hypertensive disorder of pregnancy causes symptoms such as high blood pressure, headache, swelling of the hands and feet, and protein in the urine.
It may cause blurred vision in severe cases, but it is not the most likely cause of the client’s symptoms.
Choice D is wrong because preterm labor causes symptoms such as regular contractions, lower back pain, pelvic pressure, and vaginal bleeding or discharge.
It does not cause blurred vision.
A nurse is providing education to a pregnant client who reports experiencing recurrent vaginal yeast infections.
The nurse explains that these infections may be associated with:.
Explanation
The correct answer is choice B.Hormonal changes during pregnancy can disrupt the normal balance of yeast and bacteria in the vagina and make it easier for yeast to grow and stick to the vaginal walls.Yeast infection during pregnancy can cause discomfort, itching, burning, and swelling in the vulva, as well as white, lumpy, and odorless discharge.
Choice A is wrong because gestational diabetes is not a direct cause of yeast infection, although it can increase the risk of getting one if the blood sugar levels are not well controlled.
Choice C is wrong because sexual activity is not a direct cause of yeast infection, although it can spread the infection from one partner to another or introduce new strains of yeast into the vagina.
Choice D is wrong because poor hygiene practices are not a direct cause of yeast infection, although they can worsen the symptoms or increase the risk of other infections.In fact, douching or using vaginal sprays can alter the vaginal pH and make yeast infection more likely.
A client presents with complaints of excessive sweating and genital itching during her pregnancy.
The nurse suspects these symptoms may be related to:.
Explanation
The correct answer is choice C. Hormonal changes during pregnancy.Hormonal changes can cause various symptoms during pregnancy, such as excessive sweating, vaginal dryness, and vaginal itching.
These symptoms are usually normal and common, but they can be uncomfortable and bothersome.
Choice A is wrong because gestational diabetes does not cause excessive sweating or genital itching.
Gestational diabetes is a type of diabetes that develops during pregnancy and affects how the body processes glucose (sugar).
Some of the symptoms of gestational diabetes are increased thirst, frequent urination, blurred vision, and fatigue.
Choice B is wrong because allergic reaction to medication does not cause excessive sweating or genital itching.
Allergic reaction to medication is a serious condition that can cause symptoms such as rash, hives, swelling, difficulty breathing, and anaphylaxis (a life-threatening reaction that affects the whole body).
Choice D is wrong because preterm labor does not cause excessive sweating or genital itching.
Preterm labor is a condition that occurs when the uterus contracts and the cervix opens before 37 weeks of pregnancy.
Some of the symptoms of preterm labor are regular contractions, lower back pain, pelvic pressure, abdominal cramps, and vaginal bleeding or discharge.
Normal ranges for excessive sweating and genital itching during pregnancy are not well-defined, as they may vary depending on individual factors such as body temperature, hygiene, clothing, and environment.
However, some general tips to cope with these symptoms are:
• Wear loose-fitting, breathable clothing made of natural fibers such as cotton
• Avoid synthetic fabrics, tight clothes, and underwear that trap heat and moisture
• Use mild soap and water to wash the genital area gently and pat it dry
• Avoid douching, perfumed products, and harsh chemicals that can irritate the skin
• Apply a moisturizer or lubricant to relieve vaginal dryness
• Use a cool compress or ice pack to soothe itching
• Keep hydrated by drinking plenty of fluids
• Consult your doctor if you have any signs of infection such as foul-smelling discharge, redness, swelling, pain, or fever
A pregnant client reports frequent episodes of urinary tract infections.
The nurse recognizes that this symptom may be associated with:.
Explanation
The correct answer is choice C.Hormonal changes during pregnancy can cause changes in the urinary tract, such as vesicoureteral reflux, which increases the risk of urinary tract infections (UTIs).UTIs are common during pregnancy and can lead to complications such as preterm labor and low birth weight if left untreated.
Choice A is wrong because gestational diabetes does not directly cause UTIs, although it may increase the risk of developing them due to high blood sugar levels.
Choice B is wrong because poor hygiene practices are not the main cause of UTIs during pregnancy, although they may contribute to the spread of bacteria from the rectum to the urethra.
Choice D is wrong because preterm labor is a possible consequence of UTIs, not a cause of them.
A nurse is screening a pregnant woman for gestational diabetes.
The nurse should ask the woman about which of the following symptoms that may indicate high blood sugar levels?
Explanation
The correct answer is choice C.Frequent urination and thirst are common symptoms of high blood sugar levels.Gestational diabetes is a condition in which women develop diabetes during pregnancy due to hormonal changes or other factors.It can affect the health of both the mother and the baby if not managed well.
Choice A is wrong because nausea and vomiting are not specific symptoms of gestational diabetes.They can occur in normal pregnancy or other conditions.
Choice B is wrong because headache and dizziness are also not specific symptoms of gestational diabetes.They can be caused by dehydration, low blood pressure, or other factors.
Choice D is wrong because abdominal pain and cramps are not typical symptoms of gestational diabetes.They can be signs of preterm labor, infection, or other problems.
Normal ranges for blood sugar levels during pregnancy are:
• Before meals: 60 to 90 mg/dL
• One hour after meals: 100 to 120 mg/dL
• Two hours after meals: 100 to 120 mg/dL
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