The nurse is reviewing the tests planned for a pregnant client. Traditionally testing done for gestational diabetes will be performed between 24 and 28 weeks gestation

Question

Which of the following findings in the client's history will prompt the test to be performed earlier in the pregnancy? Standard Text: Select all that apply. 1. The client is a multigravida.
2. The client has a history of a previous stillbirth.
3. The client has a strong family history of diabetes.
4. The client experienced infertility prior to becoming pregnant.
5. The client's last baby was large for gestational age.

Answer 1

2,3,5
Rationale 1: The client is a multigravida. The number of past pregnancies does not impact the risk factors of gestational diabetes.
Rationale 2: The client has a history of a previous stillbirth. Diabetic women have a higher incidence of stillbirth.
Rationale 3: The client has a strong family history of diabetes. Diabetes may have familial tendencies.
Rationale 4: The client experienced infertility prior to becoming pregnant. Infertility is not directly linked to the presence of diabetes.
Rationale 5: The client's last baby was large for gestational age. Babies born to gestational diabetics are often large for gestational age as a result of uncontrolled serum glucose levels of the mother.