Gestational Diabetes Management Strategies
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Questions and Answers

What is the primary goal of dietary planning for a pregnant woman with gestational diabetes?

  • To maintain a fasting blood sugar level of 90 mg/dl (correct)
  • To limit caloric intake to 1500 calories per day
  • To maintain a fasting blood sugar level of 80 mg/dl
  • To restrict carbohydrate intake to 100g per meal
  • What type of exercise is recommended for a pregnant woman with gestational diabetes?

  • Weightlifting and strength training
  • Liberal cardiovascular-conditioning exercise (correct)
  • Yoga and stretching exercises only
  • High-impact aerobic exercise
  • Why are oral hypoglycemic medications like Tolbutamide and Diamicron contraindicated during pregnancy?

  • They can increase the risk of preeclampsia
  • They can cause fetal macrosomia
  • They can cause preterm labor
  • They can cause fetal and newborn hypoglycemia (correct)
  • What is the recommended timing of insulin administration for a pregnant woman with gestational diabetes?

    <p>½ hour before meals</p> Signup and view all the answers

    Why is Humulin the insulin of choice during pregnancy?

    <p>It is the least allergenic insulin</p> Signup and view all the answers

    When is insulin requirement highest during pregnancy?

    <p>Third trimester</p> Signup and view all the answers

    What is the recommended weight gain during pregnancy to avoid excessive cardiac workload?

    <p>No more than 24 lbs</p> Signup and view all the answers

    What medication is recommended to strengthen myocardial contraction and slow down heart rate?

    <p>Digitalis</p> Signup and view all the answers

    Which of the following is a recommended diet for a pregnant woman with cardiac disease?

    <p>Low sodium, high protein diet</p> Signup and view all the answers

    What are the recommended additional care instructions for a pregnant woman with cardiac disease?

    <p>ANC visits every 2 weeks until 30 weeks, then weekly</p> Signup and view all the answers

    What is the first sign of impending heart failure during pregnancy?

    <p>Cough with rales</p> Signup and view all the answers

    What are the recommended precautions to prevent infection during pregnancy for a woman with cardiac disease?

    <p>Early treatment of infection</p> Signup and view all the answers

    What is the purpose of monitoring Glycosylated Hemoglobin (HbA1c) in a woman with diabetes during pregnancy?

    <p>To detect the degree of hyperglycemia present</p> Signup and view all the answers

    How often should an ophthalmic examination be performed for a woman with known diabetes during pregnancy?

    <p>At each trimester</p> Signup and view all the answers

    What is the recommended amount of caloric intake for a pregnant woman with diabetes?

    <p>1,800-2,400 cal/day</p> Signup and view all the answers

    What dietary guideline is NOT recommended for a pregnant woman with diabetes?

    <p>Reduce protein intake</p> Signup and view all the answers

    Why are additional care instructions necessary for a pregnant woman with diabetes?

    <p>To prevent fetal macrosomia</p> Signup and view all the answers

    Why is a urine culture performed each trimester for a pregnant woman with diabetes?

    <p>To detect asymptomatic UTIs</p> Signup and view all the answers

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