A nurse implements a teaching plan for a pregnant client who is newly diagnosed with gestational diabetes mellitus. Which statement, if made by the client, indicates a need for further education?

Question

1. "I need to stay on the diabetic diet."
2. "I will perform glucose monitoring at home."
3. "I need to avoid exercise because of the negative effects on insulin production."
4. "I need to be aware of any infections and report signs of infection immediately to my health care provider."

Answer 1

3

Rationale: Exercise is safe for the client with gestational diabetes mellitus and is helpful in low-ering the blood glucose level. Dietary modifications are the mainstay of treatment, and the client is placed on a standard diabetic diet. Many women are taught to perform blood glucose monitor-ing. If the woman is not performing the blood glucose monitoring at home, then it will be per-formed at the clinic or health care provider's office. Signs of infection need to be reported to the health care provider.