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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale

Uterine contractions are not a primary indicator of preeclampsia but rather of labor.

Choice B rationale

Preeclampsia is associated with hyperreflexia, not decreased deep tendon reflexes.

Choice C rationale

Preeclampsia is primarily monitored through blood pressure and proteinuria, not blood glucose levels.

Choice D rationale

Proteinuria is a key indicator of preeclampsia, caused by kidney damage due to high blood pressure.

A. "My twins are at higher risk of twin to twin transfusion because they share a placenta.”. B. "Twin to twin transfusion results in over perfusion to both babies causing circulatory overload and CHF.”. C. "Twin to twin transfusion is very common in all multiple gestation pregnancies.”. D. "My twins are at a lower risk for twin to twin transfusion because they share the placenta.”. .

Correct Answer is A

Explanation

Choice A rationale

Monochorionic-monoamniotic twins share a single placenta and amniotic sac, increasing the risk for twin to twin transfusion syndrome (TTTS). This condition occurs due to unbalanced blood flow through the shared placenta, leading to discrepancies in blood volume between the twins.

Choice B rationale

TTTS does not result in overperfusion to both babies. Instead, it causes one twin (the donor) to become underperfused, leading to anemia and growth restriction, while the other twin (the recipient) becomes overperfused, causing polycythemia and circulatory overload, which can lead to heart failure.

Choice C rationale

TTTS is not very common in all multiple gestation pregnancies; it primarily affects monochorionic twins. In dichorionic twins, each twin has its own placenta, making TTTS highly unlikely.

Choice D rationale

Monochorionic twins sharing a placenta actually increases their risk for TTTS, not lowers it. The shared placenta creates a scenario where blood vessels can cross and lead to uneven blood flow between the twins. .

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 38-year-old multigravida returns to the clinic for a routine prenatal visit at 36 weeks gestation.Assessment findings include blood pressure: 149/93 mm Hg, pulse: 80 beats/min, respiratory rate: 16 breaths/min.The nurse suspects preeclampsia.What additional finding would the nurse assess for?

Correct Answer is D

Explanation

A nurse in a prenatal clinic is discussing the risks of twin to twin transfusion syndrome with an 18 week pregnant client with monochorionic-monoamniotic (mono-mono) twins.Which of the following statements by the client shows an understanding of the education?

Correct Answer is A

Explanation

You are attending a staff meeting when the discussion about preeclampsia complications arises.Which of the following statements by the nurse educator is correct regarding HELLP syndrome?

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?

An OB nurse is educating a new graduate nurse about the signs and symptoms of a hydatidiform mole.The new graduate nurse understands the teaching when he identifies the expected assessment findings with this condition.Which of the following signs and symptoms would the nurse identify?

A nurse reviews the assessment findings and determines the findings are consistent with which of the following complications?

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 nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate.The client's respiratory rate is 10/min and deep-tendon reflexes are absent.Which of the following actions should the nurse take first?

A laboring client with preeclampsia is prescribed magnesium sulfate 2g/h IVPB. The pharmacy sent the IV to the unit labeled magnesium sulfate 20g/500mL normal saline. To administer the correct dose, the nurse should set the pump to deliver how many milliliters per hour?

A nurse is caring for a 28-year-old female client in the emergency unit. Exhibits The nurse should anticipate a provider prescription for dropdown as evidenced by the dropdown.