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 (A)</p> Signup and view all the answers

Why is Humulin the insulin of choice during pregnancy?

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

When is insulin requirement highest during pregnancy?

<p>Third trimester (B)</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 (C)</p> Signup and view all the answers

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

<p>Digitalis (B)</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 (C)</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 (C)</p> Signup and view all the answers

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

<p>Cough with rales (C)</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 (A)</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 (A)</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 (D)</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 (B)</p> Signup and view all the answers

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

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

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

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

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