A nurse in a prenatal clinic is caring for a client who is at 24 weeks of gestation. Which of the following findings is a potential indication the client has gestational diabetes mellitus?

A. Recurrent UTI: Frequent urinary tract infections can be a sign of gestational diabetes mellitus (GDM) because hyperglycemia creates an environment conducive to bacterial growth. Recurrent infections may indicate impaired glucose regulation and warrant further screening for GDM. B. Family history of type 2 diabetes mellitus: While a family history increases the client’s risk for developing GDM, it is not a direct indicator that the client currently has gestational diabetes. It is considered a risk factor rather than a presenting finding. C. Heart rate is consistently between 55/min and 58/min: A slightly lower maternal heart rate is not indicative of gestational diabetes. Maternal bradycardia in this range is usually not related to glucose metabolism and may be influenced by other factors such as fitness level or medication use. D. Reports decrease in urination frequency: Gestational diabetes typically causes polyuria rather than decreased urination. Reduced urination is not a characteristic finding associated with GDM and may suggest other renal or hydration issues instead.