{"id":137152,"date":"2024-09-12T11:03:55","date_gmt":"2024-09-12T11:03:55","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=137152"},"modified":"2024-09-12T11:03:58","modified_gmt":"2024-09-12T11:03:58","slug":"a-nurse-is-reinforcing-teaching-with-a-client-who-has-gestational-diabetes-mellitus","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/12\/a-nurse-is-reinforcing-teaching-with-a-client-who-has-gestational-diabetes-mellitus\/","title":{"rendered":"A nurse is reinforcing teaching with a client who has gestational diabetes mellitus"},"content":{"rendered":"\n<p>A nurse is reinforcing teaching with a client who has gestational diabetes mellitus.<br>Which of the following statements by the client indicates an understanding of the teaching?<\/p>\n\n\n\n<p>A.<br>\u201cMy baby will be monitored for hypoglycemia after birth.\u201d<\/p>\n\n\n\n<p>B.<br>\u201cI will check my blood glucose once every 8 hours.\u201d<\/p>\n\n\n\n<p>C.<br>\u201cMy baby is at risk for being underweight at birth.\u201d<\/p>\n\n\n\n<p>D.<br>\u201cI should ensure that only 5 percent of my daily calories come from protein sources.\u201d<\/p>\n\n\n\n<p><strong><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-6-color\">The Correct Answer and Explanation is :<\/mark><\/strong><\/p>\n\n\n\n<p>The correct answer is:<\/p>\n\n\n\n<p><strong>A. &#8220;My baby will be monitored for hypoglycemia after birth.&#8221;<\/strong><\/p>\n\n\n\n<p><strong>Explanation:<\/strong><\/p>\n\n\n\n<p>Gestational diabetes mellitus (GDM) is a condition in which a woman without previously diagnosed diabetes develops high blood glucose levels during pregnancy. This condition occurs due to insulin resistance caused by hormones released by the placenta. Managing GDM is crucial to prevent complications for both the mother and the baby.<\/p>\n\n\n\n<p><strong>Why option A is correct:<\/strong> Infants born to mothers with gestational diabetes are at risk for hypoglycemia (low blood sugar) after birth. During pregnancy, the baby is exposed to higher glucose levels from the mother\u2019s blood, causing the baby\u2019s pancreas to produce extra insulin. Once the umbilical cord is cut, the baby no longer receives high levels of glucose from the mother, but their pancreas may continue to produce extra insulin, leading to hypoglycemia. Therefore, careful monitoring of the infant\u2019s blood sugar levels after birth is essential.<\/p>\n\n\n\n<p><strong>Why other options are incorrect:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>B. &#8220;I will check my blood glucose once every 8 hours.&#8221;<\/strong> This statement is inaccurate because women with GDM are generally advised to monitor their blood glucose more frequently, often several times a day, including before and after meals. This helps ensure that blood glucose levels remain within the target range to avoid complications for both the mother and baby.<\/li>\n\n\n\n<li><strong>C. &#8220;My baby is at risk for being underweight at birth.&#8221;<\/strong> Babies born to mothers with GDM are more likely to be macrosomic (large for gestational age) rather than underweight. Macrosomia can lead to complications during delivery, such as shoulder dystocia, and may require a cesarean section.<\/li>\n\n\n\n<li><strong>D. &#8220;I should ensure that only 5 percent of my daily calories come from protein sources.&#8221;<\/strong> This statement is incorrect. Pregnant women, including those with GDM, are typically advised to get around 15-20% of their daily calories from protein to support the increased nutritional needs of pregnancy.<\/li>\n<\/ul>\n\n\n\n<p>In conclusion, the correct response reflects the client\u2019s understanding that newborns of mothers with GDM are at risk for hypoglycemia and need careful monitoring after birth.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A nurse is reinforcing teaching with a client who has gestational diabetes mellitus.Which of the following statements by the client indicates an understanding of the teaching? A.\u201cMy baby will be monitored for hypoglycemia after birth.\u201d B.\u201cI will check my blood glucose once every 8 hours.\u201d C.\u201cMy baby is at risk for being underweight at birth.\u201d [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-137152","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137152","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=137152"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137152\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=137152"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=137152"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=137152"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}