Gestational Diabetes Management Strategies

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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?

½ hour before meals (A) Signup and view all the answers

Why is Humulin the insulin of choice during pregnancy?

It is the least allergenic insulin (A) Signup and view all the answers

When is insulin requirement highest during pregnancy?

Third trimester (B) Signup and view all the answers

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

No more than 24 lbs (C) Signup and view all the answers

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

Digitalis (B) Signup and view all the answers

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

Low sodium, high protein diet (C) Signup and view all the answers

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

ANC visits every 2 weeks until 30 weeks, then weekly (C) Signup and view all the answers

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

Cough with rales (C) Signup and view all the answers

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

Early treatment of infection (A) Signup and view all the answers

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

To detect the degree of hyperglycemia present (A) Signup and view all the answers

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

At each trimester (D) Signup and view all the answers

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

1,800-2,400 cal/day (B) Signup and view all the answers

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

Reduce protein intake (A) Signup and view all the answers

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

To prevent fetal macrosomia (C) Signup and view all the answers

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

To detect asymptomatic UTIs (C) Signup and view all the answers