Nokea
The nurse is caring for a pregnant patient who is 26 weeks gestation and has a history of gestational diabetes. Which of the following actions is most important for the nurse to monitor during this pregnancy?
Correct Answer: A
Rationale: The correct answer is A: Blood glucose levels and fetal growth. Monitoring blood glucose levels is crucial in managing gestational diabetes to prevent complications for both the mother and baby. High blood glucose levels can lead to macrosomia (excessive fetal growth). Monitoring fetal growth is important to ensure the baby is growing appropriately.
Choice B is incorrect because urine protein levels and blood pressure are typically monitored for preeclampsia, not specifically for a patient with gestational diabetes. Choice C is incorrect because while maternal weight gain and diet are important factors, monitoring blood glucose levels takes precedence in managing gestational diabetes. Choice D is incorrect because while fetal heart rate and activity patterns are important, monitoring blood glucose levels is more crucial in this scenario due to the patient's history of gestational diabetes.