What is the most appropriate response by the nurse when a 20-year-old woman pregnant with her first child and diagnosed with gestational diabetes mellitus (GDM) asks if she will develop diabetes in the future?
A) "There is a chance that you may develop diabetes in the next 10-20 years, so monitoring would be appropriate."
B) "It is impossible to tell–we don't know anything about the risk factors for diabetes."
C) "Your risk for developing diabetes in the future is high because you are young."
D) "You cannot develop gestational diabetes (GDM) in future pregnancies, this only happens with your first pregnancy."
A) "There is a chance that you may develop diabetes in the next 10-20 years, so monitoring would be appropriate."
Explanation: A) Women with GDM have a 35-60% chance of developing DM in the 10-20 years following the pregnancy. Risk factors for GDM include previous GDM, advanced maternal age, obesity, family history of DM, and racial/ethnic origin (African American, Hispanic/Latino American, and American Indian).
B) Women with GDM have a 35-60% chance of developing DM in the 10-20 years following the pregnancy. Risk factors for GDM include previous GDM, advanced maternal age, obesity, family history of DM, and racial/ethnic origin (African American, Hispanic/Latino American, and American Indian).
C) Women with GDM have a 35-60% chance of developing DM in the 10-20 years following the pregnancy. Risk factors for GDM include previous GDM, advanced maternal age, obesity, family history of DM, and racial/ethnic origin (African American, Hispanic/Latino American, and American Indian).
D) Women with GDM have a 35-60% chance of developing DM in the 10-20 years following the pregnancy. Risk factors for GDM include previous GDM, advanced maternal age, obesity, family history of DM, and racial/ethnic origin (African American, Hispanic/Latino American, and American Indian).
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