A nurse is caring for a client with gestational diabetes.Which guideline should the nurse use when providing nutritional counseling to this client?
Carbohydrates should make up no more than 25% of the total dietary intake.
Animal protein should not be included in the pre-bedtime snack.
Caloric intake should be 300 calories above the suggested non-pregnant caloric intake.
Use of a sugar substitute will help to control blood glucose levels.
The Correct Answer is C
The correct answer is choice C. Caloric intake should be 300 calories above the suggested non-pregnant caloric intake. This is because women with gestational diabetes need to meet the nutritional needs of pregnancy and also control their blood glucose levels.
Choice A is wrong because carbohydrates should make up about 45% of the total dietary intake for women with gestational diabetes, not 25%.
Carbohydrates are important for providing energy and nutrients for the mother and the baby.
Choice B is wrong because animal protein can be included in the pre-bedtime snack as long as it is combined with some carbohydrates.
Protein can help prevent low blood glucose levels during the night.
Choice D is wrong because sugar substitutes do not help to control blood glucose levels. They may also have adverse effects on the baby’s development. Women with gestational diabetes should limit their intake of added sugars and choose foods with natural sugars instead.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D: To prevent her from having convulsions.Magnesium sulfate is a mineral that reduces seizure risks in women with preeclampsia, a condition of high blood pressure and protein in the urine during pregnancy.Magnesium sulfate can lower the cerebral perfusion pressure and prevent convulsions.However, magnesium sulfate does not affect the neonatal outcomes and can cause side effects such as respiratory depression.
Choice A is wrong because magnesium sulfate does not decrease blood pressure.It is used along with medications that help reduce blood pressure.
Choice B is wrong because magnesium sulfate does not decrease tidal volume.It can cause respiratory depression if the serum level is too high.
Choice C is wrong because magnesium sulfate does not prevent dehydration.It can cause fluid retention and pulmonary edema if given in excess.
Correct Answer is A
Explanation
The correct answer is choice A: To minimize the patient’s oxygen needs.
A neutral thermal environment is an environment in which a neonate maintains a normal body temperature while minimizing energy expenditure and oxygen consumption.This is important for the wellbeing of neonates, especially those who are preterm or have respiratory insufficiency.
Choice B is wrong because the conversion of glucose to lactic acid is not a desired outcome of a neutral thermal environment.This conversion occurs when there is inadequate oxygen supply to the tissues, resulting in anaerobic metabolism and metabolic acidosis.
Choice C is wrong because the absorption of surfactant from the alveoli is not affected by a neutral thermal environment.
Surfactant is a substance that reduces surface tension and prevents alveolar collapse.It is produced by type II alveolar cells and secreted into the alveoli.
Choice D is wrong because the metabolism of brown fat stores is not a desired outcome of a neutral thermal environment.
Brown fat is a specialized tissue that generates heat by nonshivering thermogenesis in response to cold stress.
It is located in the nape of the neck, between the scapulae, and around the kidneys and adrenals.It increases the metabolic rate and oxygen consumption of neonates.
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