A client at 27 weeks gestation has completed the 1-hour Glucose Tolerance Test (GTT) with a result of 160 mg/dL (expected: less than 130-140 mg/dL). What education would the nurse provide following this test result?

A. The provider will prescribe insulin to treat gestational diabetes.

Please increase your carbohydrate intake for the rest of your pregnancy.

No changes are needed for your plan of care.

We will schedule you for a 3-hour Glucose Tolerance Test.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Prescribing insulin is premature based on a single elevated glucose test without further diagnostic confirmation through a 3-hour Glucose Tolerance Test.

Choice B rationale

Increasing carbohydrate intake is not recommended for managing elevated glucose levels in gestational diabetes.

Choice C rationale

No changes are recommended only if the GTT results are within the expected range. Further testing is required due to the elevated result.

Choice D rationale

A 3-hour Glucose Tolerance Test is needed to confirm gestational diabetes following an elevated 1-hour test result to ensure accurate diagnosis and appropriate management.

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Correct Answer is D

Explanation

Choice A rationale

Asthma is a respiratory condition and is not directly linked to an increased risk of placental abruption. While chronic conditions can affect pregnancy, asthma is not a direct risk factor for abruption.

Choice B rationale

Hyperthyroidism is a thyroid condition that can cause complications during pregnancy, but it is not a known risk factor for placental abruption. It affects the mother's metabolism and can impact fetal development, but does not typically cause placental detachment.

Choice C rationale

Previous cesarean delivery is associated with risks such as uterine rupture in future pregnancies, but not specifically with placental abruption. The scar tissue from a cesarean may affect the placenta's position, but does not increase the risk of abruption directly.

Choice D rationale

Hypertension, or high blood pressure, is a significant risk factor for placental abruption. It can damage the blood vessels in the placenta, leading to separation from the uterine wall and resulting in abruption, which can be dangerous for both mother and baby.

A. Cerebral manifestations B. Fetal heart rate C. Deep tendon reflexes D. Gastrointestinal assessment findings E. Respiratory rate F. Blood pressure

Correct Answer is ["A","D","F"]

Explanation

Choice A rationale:

Cerebral manifestations, such as headaches and dizziness, can be indicative of severe preeclampsia, a condition that requires immediate attention to prevent complications for both the mother and the fetus.

Choice B rationale:

The fetal heart rate of 155 bpm is within the normal range for a fetus at 36 weeks of gestation (110-160 bpm). Therefore, this finding is not necessarily abnormal or concerning, and does not need immediate reporting to the provider.

Choice C rationale:

Deep tendon reflexes (DTRs) of 3+ are slightly brisk, but the absence of clonus makes this finding less concerning for severe preeclampsia or eclampsia, so it does not need immediate reporting.

Choice D rationale:

Gastrointestinal assessment findings, such as right upper quadrant pain and persistent "heartburn," are concerning for possible HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets), a severe form of preeclampsia that requires immediate attention.

Choice E rationale:

The respiratory rate of 20/min is within normal limits for an adult (12-20 breaths per minute) and does not indicate an immediate concern that needs to be reported to the provider.

Choice F rationale:

The blood pressure of 156/90 mm Hg is elevated and indicative of hypertension, which is concerning for preeclampsia and requires immediate attention to prevent complications for the mother and fetus.

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A client at 27 weeks gestation has completed the 1-hour Glucose Tolerance Test (GTT) with a result of 160 mg/dL (expected: less than 130-140 mg/dL). What education would the nurse provide following this test result?

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Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is caring for a client who is at 37 weeks of gestation and at risk for placental abruption.The nurse should recognize that which of the following is a risk factor for abruption?

Correct Answer is D

Explanation

A nurse is providing care at a routine visit for a 28-year-old female client who is at 36 weeks of gestation in the clinic. Exhibits Which of the following findings should the nurse report to the provider? (Select all that apply.)

Correct Answer is ["A","D","F"]

Explanation

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