Maternity Nursing: Antepartum Q 8
A nurse implements a teaching plan for a pregnant client who is newly diagnosed with gestational diabetes. Which statement if made by the client indicates a need for further education?
A. “I need to stay on the diabetic diet.”
B. “I will perform glucose monitoring at home.”
C. “I need to avoid exercise because of the negative effects of insulin production.”
D. “I need to be aware of any infections and report signs of infection immediately to my health care provider.”
Correct Answer: C. “I need to avoid exercise because of the negative effects of insulin production.”
Exercise is safe for the client with gestational diabetes and is helpful in lowering the blood glucose level.
Option A: The goal of dietary therapy is to avoid single large meals and foods with a large percentage of simple carbohydrates. The diet should include foods with complex carbohydrates and cellulose, such as whole-grain breads and legumes.
Option B: The best method for screening for gestational diabetes continues to be controversial. The 2-step system is currently recommended in the United States. A 50-g, 1-hour glucose challenge test (GCT) is followed by a 100-g, 3-hour OGTT for those with an abnormal screening result. Alternatively, for high-risk women, or in areas in which the prevalence of insulin resistance is 5% or higher (eg, the southwestern and southeastern United States), a 1-step approach can be used by proceeding directly to the 100-g, 3-hour OGTT.
Option D: Pregnant women with gestational diabetes mellitus (GDM) are reported to be at increased risk for infections of the genital tract. Bacterial vaginosis (BV) is known to be a crucial factor for preterm delivery (PTD), causing up to 40 percent of premature births.