A nurse midwife is reviewing the history of a client who is pregnant for the second time. Which of the following details from the client’s history indicates an increased risk of gestational diabetes?
I.The client is 30 years old.
II.The client has a BMI of 28.
III.The client gave birth two years ago to a baby boy, who weighed 11 pounds at birth.
IV.The client is a Native American.
Explanation
Answer: C - The client increases her risk for gestational diabetes because she is over 25 years, has a history of giving birth to large baby and she is of Native American descent. The following are the risk factors for gestational diabetes: obesity or having a BMI of 30 or greater, age over 25 years, history of large babies, race - Native American, Asian and Hispanic, history of diabetes, history of congenital anomalies and history of unexplained fetal loss.
