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.

Answer and Explanation

The Correct Answer is A

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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Correct Answer is A

Explanation

The correct answer is choice A. A breastfed baby is likely to gain weight more rapidly in the first month of life.This statement is wrong because breastfed babies generally gain weight faster than formula-fed babies for the first 3 months of life.They also double their birth weight by 3-4 months and triple it by one year.

Therefore, a breastfed baby’s weight gain in the first month of life is not unusual or concerning.

Choice B is correct because breastfeeding is not a reliable method of birth control.A woman can still ovulate and become pregnant while breastfeeding, especially if she feeds her baby less frequently or supplements with formula or solids.

Choice C is correct because breastfeeding has been shown to reduce the risk of allergies in babies.Breast milk contains antibodies and other immune factors that protect the baby from infections and allergic reactions.

Choice D is correct because breastfeeding mothers need to drink enough fluids to stay hydrated and produce enough milk.The recommended fluid intake for breastfeeding mothers is about 13 cups (3 liters) per day.

A. This patient should begin to time the contractions. B. This patient should document fetal activity daily. C. This patient may be losing her mucus plug. D. This patient’s contractions are normal at this time.

Correct Answer is D

Explanation

Braxton Hicks contractions are irregular, painless uterine contractions that occur throughout pregnancy, but are more noticeable in the third trimester.They do not indicate labor, but rather help in softening and ripening the cervix.

Choice A is wrong because the patient does not need to time the contractions unless they become regular, painful, and closer together, which are signs of true labor.

Choice B is wrong because documenting fetal activity daily is not related to Braxton Hicks contractions.Fetal activity is monitored to assess fetal well-being and detect any signs of fetal distress.

Choice C is wrong because losing the mucus plug is also not related to Braxton Hicks contractions.The mucus plug is a thick plug of mucus that seals the cervical canal during pregnancy and may be expelled before or during labor.

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A nurse is caring for a client with gestational diabetes.Which guideline should the nurse use when providing nutritional counseling to this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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