Question

A 32-year-old First Nations woman from a remote northern community presents to a nursing station for antenatal care at 16 weeks gestation. She has a body mass index of 34 kg/m², a strong family history of diabetes, and a personal history of gestational diabetes in a prior pregnancy. Community prevalence of type 2 diabetes is high. Which intervention best demonstrates culturally safe, guideline-consistent care in this context?

Accepted Answer

Offering early diabetes screening, involving local community health workers, and incorporating traditional dietary practices into her care plan

Answer

Advising her to move to a southern urban area to access specialist care for the rest of the pregnancy

Answer

Focusing solely on strict weight loss and telling her that poor diet is the main cause of Indigenous diabetes

Answer

Referring her to a dietitian in a city and arranging telephone follow-up only

Answer

Explaining that her risk is genetic and that lifestyle changes are unlikely to help

Practice question