A 26-week pregnant client has a Glucose challenge test (GCT) with 50 g of glucola, her results are 150mg/dl. What would be expected next step when caring for this client?

Increase in dietary protein

Schedule a repeat Glucose challenge test (GCT)

Restrict carbohydrate intake

Return for a fasting 3-hour glucose tolerance test (GTT)

Answer and Explanation

The Correct Answer is D

A. Increase in dietary protein is not the appropriate response based on the results of the glucose challenge test. Protein intake may be adjusted for other health reasons but is not typically a first-line intervention after an abnormal GCT result.

B. Schedule a repeat Glucose Challenge Test (GCT) is not typically the next step. If the initial GCT is abnormal (usually a result >130-140 mg/dL), a repeat test is not recommended. Instead, a 3-hour glucose tolerance test (GTT) is used to confirm or rule out gestational diabetes.

C. Restrict carbohydrate intake might be part of managing gestational diabetes if it is diagnosed, but it is not the immediate next step after an abnormal GCT result. The focus is on further testing with a 3-hour GTT to confirm gestational diabetes.

D. Return for a fasting 3-hour glucose tolerance test (GTT) is the correct next step. If a client’s GCT result is ≥130-140 mg/dL, a 3-hour GTT is typically scheduled. The 3-hour GTT is a more comprehensive test that involves fasting and measuring blood glucose levels after consuming a larger dose of glucose (100 g). This test is used to diagnose gestational diabetes.

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Correct Answer is D

Explanation

A. Potassium chloride is not used in the treatment of magnesium sulfate toxicity. Potassium chloride is typically used to correct low potassium levels, but it is not directly related to managing magnesium sulfate toxicity.

B. Ferrous sulfate is an iron supplement, typically used to treat or prevent iron deficiency anemia, and does not play a role in managing magnesium sulfate toxicity.

C. Calcium carbonate is an antacid and is not used to counteract magnesium sulfate toxicity.

D. Calcium gluconate is the correct choice. Magnesium sulfate is used in severe preeclampsia to prevent seizures, but it can cause toxicity, leading to respiratory depression, loss of deep tendon reflexes, or even cardiac arrest. Calcium gluconate is the antidote for magnesium sulfate toxicity and should be readily available to reverse these effects if necessary.

A. progesterone B. estrogen C. prolactin D. oxytocin

Correct Answer is D

Explanation

A. Progesterone plays a significant role in maintaining pregnancy and preparing the breasts for lactation, but it is not responsible for the milk let-down reflex.
B. Estrogen helps with breast development and ductal growth during pregnancy, but it does not trigger the milk let-down reflex.
C. Prolactin is responsible for milk production (lactogenesis) but not for the actual release of milk from the breast.
D. Oxytocin is the hormone responsible for the milk let-down reflex, which causes milk to be released from the milk glands into the nipple when the baby suckles. It also promotes uterine contractions after childbirth.

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A 26-week pregnant client has a Glucose challenge test (GCT) with 50 g of glucola, her results are 150mg/dl. What would be expected next step when caring for this client?

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Naxlex Comprehensive Predictor Exams

A client with severe preeclampsia is receiving magnesium sulfate as part of the treatment plan. To ensure the client's safety, which compound would the nurse have readily available?

Correct Answer is D

Explanation

A nurse is teaching a new mother about breastfeeding. The nurse determines that the teaching was successful when the woman identifies which hormone as responsible for milk let-down?

Correct Answer is D

Explanation

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