A nurse is developing a meal plan for a pregnant woman with gestational diabetes.
Which instruction should the nurse include?
"Consume regular meals and snacks to maintain stable blood glucose levels.".
"Avoid fruits and vegetables to minimize carbohydrate intake.".
"Focus on consuming high-fat foods to meet nutritional needs.".
"Include sugary desserts in your daily meal plan.".
The Correct Answer is A
The correct answer is choice A. “Consume regular meals and snacks to maintain stable blood glucose levels.” This is because eating at regular intervals helps prevent blood sugar spikes and drops, which can be harmful for both the mother and the baby. A healthy diet for gestational diabetes should include a variety of foods from different food groups, such as fruits, vegetables, whole grains, lean proteins, and low-fat dairy products.
Choice B is wrong because “Avoid fruits and vegetables to minimize carbohydrate intake.” Fruits and vegetables are rich in vitamins, minerals, antioxidants, and fiber, which are beneficial for both the mother and the baby. Carbohydrates are not bad for gestational diabetes, as long as they are complex carbohydrates that are digested slowly and do not cause rapid blood sugar spikes. Examples of complex carbohydrates are whole wheat bread, brown rice, oats, quinoa, beans, and lentils.
Choice C is wrong because “Focus on consuming high-fat foods to meet nutritional needs.” High-fat foods can increase the risk of weight gain, high cholesterol, high blood pressure, and heart disease, which can complicate gestational diabetes.
Moreover, not all fats are healthy. Saturated fats and trans fats should be avoided or limited, as they can raise bad cholesterol levels and increase inflammation. Examples of saturated fats are butter, cheese, cream, fatty meats, and coconut oil. Examples of trans fats are margarine, shortening, baked goods, fried foods, and processed snacks. Healthy fats are unsaturated fats that can lower bad cholesterol levels and provide essential fatty acids.
Examples of unsaturated fats
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A. Insulin administration may be necessary if dietary modifications and physical activity alone are insufficient.
This is because gestational diabetes mellitus (GDM) is a condition that affects the way the body uses glucose during pregnancy, and it can cause high blood sugar levels that can affect the health of both the mother and the baby.Insulin is a hormone that helps the body use glucose for energy, and some women with GDM may need to take insulin injections to keep their blood sugar levels within normal range.
Choice B is wrong because skipping insulin doses can lead to dangerously high blood sugar levels that can cause complications such as ketoacidosis, fetal distress, preterm labor, or stillbirth.
Women with GDM should follow their prescribed insulin regimen and monitor their blood sugar levels regularly.
Choice C is wrong because insulin therapy is not the first-line treatment for GDM.The first-line treatment for GDM is lifestyle changes such as eating a balanced diet, limiting carbohydrates and sweets, increasing fiber intake, and exercising moderately for at least 30 minutes a day.
These measures can help lower blood sugar levels and reduce the need for insulin therapy.
However, if lifestyle changes are not enough to control blood sugar levels, insulin therapy may be added as a second-line treatment.
Choice D is wrong because insulin cannot be administered at any time during the day.
Insulin therapy for GDM requires careful timing and dosing to match the blood sugar patterns and needs of each woman.Insulin therapy for GDM usually involves a combination of short-acting and intermediate-acting insulin that are given before meals and at bedtime.
The timing and dosage of insulin depend on factors such as the woman’s weight, blood sugar levels, diet, activity level, and fetal growth.
Women with GDM should consult their health care provider or diabetes educator about their individualized insulin regimen.
Correct Answer is A
Explanation
The correct answer is choice A.“I should engage in moderate-intensity exercises like walking or swimming.” This statement indicates that the client understands the benefits of physical activity for gestational diabetes, such as improving glucose metabolism, reducing insulin resistance, and preventing excessive weight gain.Moderate-intensity exercises are recommended for pregnant women with gestational diabetes, as long as they are medically cleared and have no contraindications.
Choice B is wrong because physical activity does not cause complications for gestational diabetes, but rather helps to prevent them.Avoiding physical activity can lead to poor glycemic control, increased risk of hypertension, preeclampsia, and cesarean delivery.
Choice C is wrong because exercise should be done throughout pregnancy, not only in the third trimester.Starting exercise early in pregnancy can help to prevent or delay the onset of gestational diabetes, and continuing exercise until delivery can help to maintain glucose levels and prevent fetal macrosomia.
Choice D is wrong because high-intensity exercises are not recommended for pregnant women with gestational diabetes, as they can cause hypoglycemia, dehydration, and fetal distress.High-intensity exercises can also increase the production of stress hormones, which can impair glucose metabolism and increase insulin resistance.
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