Following an oral glucose tolerance, a 36-year-old mother of four has been diagnosed with gestational diabetes mellitus (GDM), a problem that was not present in any of her previous pregnancies
What should her primary care provider tell her about this new health problem?
A)
"This diabetes is unlikely to persist after you give birth, but the main risk is that your baby will likely be born with diabetes."
B)
"Your baby could become too large or have low blood sugars if we're not vigilant about controlling your sugars."
C)
"We'll monitor this closely and begin insulin therapy as soon as possible."
D)
"This is likely a result of your liver releasing too much fat, rather than your pancreas not secreting insulin."
Ans:
B
Feedback:
Women with GDM are at higher risk for complications of pregnancy, mortality, and fetal abnormalities. Fetal abnormalities include macrosomia, hypoglycemia, hypocalcemia, polycythemia, and hyperbilirubinemia. GDM often persists as type 2 diabetes after delivery, and the baby does not face a significantly higher risk of developing diabetes. Nutrition therapy would precede insulin therapy, and GDM involves a pancreatic etiology.
You might also like to view...
An older patient with type 2 diabetes mellitus is complaining of burning feet. The nurse determines that the patient is most likely experiencing which type of pain?
A) Somatic pain B) Visceral pain C) Nociceptive pain D) Neuropathic pain
Risk management is part of the planning function of management. Put the following steps of risk management in order from the first step (1 ) to the last (5):
__________ Analyzing, classifying, and prioritizing risks __________ Evaluating and modifying risk reduction programs __________ Anticipating and seeking sources of risk __________ Developing a plan to avoid and manage risk __________ Gathering data that indicate success at avoiding or minimizing risk
When the nurse is monitoring a patient with a hypertensive urgency, which of these manifestations would the nurse expect to find?
a. Irregular heartbeats b. Muscle weakness c. Urinary retention d. Severe headaches
Ordered: Lasix® 60 mg by mouth once a day, in the morning, for 30 days On hand: Lasix® 20 mg scored tablets Calculate the amount to dispense: ________.
Fill in the blank(s) with the appropriate word(s).