A 31-year-old woman who is at high risk for diabetes is at 18 weeks' gestation. During her first antenatal visit, which is the accurate approach to evaluate the client for diabetes?
1. Conduct screening for type 2 diabetes mellitus as soon as possible.
2. Begin serial testing of the client's serum glucose and HA1c at 24 weeks' gestation.
3. If diabetes is diagnosed, consider this condition to be gestational diabetes mellitus (GDM).
4. Recognize HA1c equal to or greater than 4.5 or a fasting plasma glucose level equal to or greater than 90 mg/dL as being diagnostic of diabetes.
Question 2
A 26-year-old multigravida who is 28 weeks pregnant and follows a program of regular exercise develops gestational diabetes. What instructions should be included in a teaching plan for this client?
1. Carry hard candy (or other simple sugar) when exercising.
2. If your blood sugar is 120 mg/dL, eat 20 g of carbohydrate.
3. Exercise either just before meals or wait until 2 hours after a meal.
4. If your blood sugar is more than 120 mg/dL, drink a glass of whole milk.
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