Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
40. A client, who is 32 years old, gravida 4, para 1 at 31 weeks' gestation, has been recently diagnosed with gestational diabetes. She has attended a class about managing diabetes during pregnancy. Which statements should indicate to a nurse that the client understands what was taught about gestational diabetes? Select all that apply.
. "I can't eat any carbohydrates for the rest of my pregnancy."
. "I need to keep my blood sugar well controlled so the baby won't grow too large."
. "I will have to take insulin for the rest of my life."
. "I need to count the grams of carbohydrate for each meal and my snacks."
. "I will have to check my blood sugar before I eat in the morning and after each meal."
Test-Taking Tip
Look for phrases like "can't eat any" (meaning none) and "for the rest of my life"; those are both very definitive phrases. Be sure they are totally true before choosing these responses.
Content Area: Maternity, Antepartum; Integrated Process: Nursing Process, Evaluation; Cognitive Level: Analysis; Client Need/Subneed: Health Promotion and Maintenance/Ante/Intra/Postpartum and Newborn Care
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
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Answer 1 is incorrect because the client will be allowed some complex carbohydrates, but simple carbohydrates (such as sugar, juice, and cold cereal) are not allowed in a gestational diabetic diet. Answer 2 is correct because keeping the blood sugar well controlled has a direct relationship to decreasing the risk for macrosomia and hypoglycemia in the neonate. Answer 3 is incorrect because many clients with gestational diabetes are diet controlled or controlled with glyburide, and gestational diabetes is resolved after the pregnancy is over. All clients with gestational diabetes have a follow-up glucose tolerance test scheduled about 6 weeks after delivery. Answer 4 is correct because the diet for gestational diabetes is based on the grams of carbohydrate allowed at each meal and snack. Answer 5 is correct because clients with gestational diabetes are required to test their fasting blood sugar and 1 to 2 hours postprandial.