Practice Question
A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise. The nurse should anticipate a prescription from the provider for which of the following medications for the client?
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Correct Answer:
Insulin
Rationale:
🎀 Insulin is the preferred treatment for gestational diabetes when lifestyle modifications like diet and exercise are no longer effective.
🎀 It does not cross the placenta, making it safe for the developing fetus.
🎀 Oral antidiabetic agents are generally avoided in pregnancy due to limited safety data and potential fetal effects.
🎀 Tight glycemic control is essential to reduce risks such as macrosomia, preterm birth, and neonatal hypoglycemia.
🎀 Nurses play a critical role in educating clients about insulin self-administration and glucose monitoring.
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This question is from RN ATI Maternal Newborn Exam I which contains 32 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4