A nurse is teaching a client at 24 weeks of gestation about special considerations of gestational diabetes mellitus (GDM). Which of the following statements by the client indicates that the teaching was effective? (Select all that apply)
Explanation & Rationale
Choice A rationaleGestational diabetes mellitus increases the risk of preterm labor due to potential complications such as polyhydramnios and preeclampsia.Choice B rationaleClients with gestational diabetes have a higher risk of developing type 2 diabetes mellitus later in life due to glucose intolerance.Choice C rationaleIntensive fetal monitoring is necessary to detect potential complications such as macrosomia, hypoglycemia, and fetal distress in GDM clients.Choice D rationaleHaving a cesarean section is not a requirement for all clients with GDM, as vaginal delivery is possible with well-controlled glucose levels.Choice E rationaleClients with GDM are at risk of postpartum hemorrhage due to uterine overdistention from macrosomia or polyhydramnios.