What information should a nurse discuss with a pregnant woman diagnosed with gestational diabetes?

The decision to plan for weekly nonstress tests at 32 weeks for a pregnant woman diagnosed with gestational diabetes is based on monitoring fetal well-being to prevent complications associated with the condition. Gestational diabetes can lead to an increased risk of fetal distress and complications such as macrosomia (excessive fetal growth), which necessitates careful monitoring as the pregnancy progresses, especially after 32 weeks when fetal monitoring becomes critical. Nonstress tests assess fetal heart rate in response to movements, helping to ensure the fetus is not in distress, and allow for prompt action if any issues arise.

While the other options may seem relevant to managing gestational diabetes, they do not align as closely with standard practice for monitoring the pregnancy. Routine ultrasounds and assessments of fetal well-being are indeed important, but the specifics of timing and frequency can vary based on individual circumstances. Immediate initiation of insulin therapy is not necessarily required for all patients, as management plans can often include diet and exercise modifications first. Increasing caloric intake detracts from one of the key strategies for managing gestational diabetes, which often involves dietary control aimed at maintaining stable blood glucose levels for the health of both mother and child.