A client with gestational diabetes is prescribed insulin therapy.

The nurse is educating the client on proper insulin administration techniques.

Which of the following instructions should the nurse provide?

"Inject insulin directly into the umbilical area for optimal absorption.".

"Dispose of needles in a regular trash bin after use.".

"Rotate injection sites to ensure consistent insulin absorption.".

"Store insulin vials in the freezer to maintain potency.".

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. The nurse should instruct the client to rotate injection sites to ensure consistent insulin absorption. Rotating injection sites helps prevent lipodystrophy, which is a condition that affects the subcutaneous fat tissue and can impair insulin absorption.

Choice A is wrong because injecting insulin directly into the umbilical area is not recommended for pregnant clients, as it may cause irritation or infection of the umbilical cord.

Choice B is wrong because needles should be disposed of in a puncture-resistant container, not in a regular trash bin, to prevent needlestick injuries.

Choice D is wrong because insulin vials should be stored in the refrigerator, not in the freezer, to maintain potency. Freezing can damage the insulin molecules and reduce their effectiveness.

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 A

Explanation

The correct answer is

A. Elevated fasting blood glucose levels.

Gestational diabetes (GDM) is a condition where the blood sugar levels are higher than normal during pregnancy.

It can affect the health of the mother and the baby if not well controlled.GDM usually goes away after delivery, but it can increase the risk of developing type 2 diabetes later in life.

A. Elevated fasting blood glucose levels.

This statement is true.

Fasting blood glucose levels are the levels of glucose in the blood after not eating or drinking anything except water for at least 8 hours.

Normal fasting blood glucose levels are between 70 and 100 mg/dL (3.9 and 5.6 mmol/L).

In GDM, the fasting blood glucose levels are higher than normal, usually above 95 mg/dL (5.3 mmol/L).This indicates that the body is not able to use insulin effectively to lower the blood sugar levels.

B. Decreased postprandial blood glucose levels.

This statement is false.

Postprandial blood glucose levels are the levels of glucose in the blood after eating a meal or a snack.

Normal postprandial blood glucose levels are below 140 mg/dL (7.8 mmol/L) within 2 hours of eating.

In GDM, the postprandial blood glucose levels are higher than normal, usually above 140 mg/dL (7.8 mmol/L) within 1 hour or above 120 mg/dL (6.7 mmol/L) within 2 hours of eating.This indicates that the body is not able to use insulin effectively to lower the blood sugar levels after a meal.

C. Elevated serum insulin levels.

This statement is false.

Serum insulin levels are the levels of insulin in the blood.

Insulin is a hormone that helps the cells to take up glucose from the blood for energy or storage.

Normal serum insulin levels vary depending on the time of day, the type of food eaten, and other factors.

In GDM, the serum insulin levels are not necessarily elevated, but they may be insufficient to overcome the insulin resistance caused by hormonal changes during pregnancy.Insulin resistance is a condition where the cells do not respond well to insulin and require more insulin to lower the blood sugar levels.

D. Decreased glycosylated hemoglobin levels.

This statement is false.

Glycosylated hemoglobin (HbA1c) is a measure of how much glucose is attached to hemoglobin, a protein in red blood cells that carries oxygen.

HbA1c reflects the average blood sugar levels over the past 2 to 3 months.

Normal HbA1c levels are below 5.7%.

In GDM, the HbA1c levels are not necessarily decreased, but they may be within or slightly above the normal range, depending on how well the blood sugar levels are controlled during pregnancy.HbA1c is not a reliable test for diagnosing GDM, as it may not reflect the recent changes in blood sugar levels caused by pregnancy.

A. Regular appointments allow for insulin therapy initiation if needed B. Prenatal appointments help in diagnosing gestational diabetes C. Attending appointments ensures access to emotional support D. Regular appointments allow for adjustment of insulin dosage

Correct Answer is A

Explanation

The correct answer is choice A. Regular appointments allow for insulin therapy initiation if needed.This is because gestational diabetes is a condition in which women develop high blood sugar during pregnancy, which can cause complications for both the mother and the baby.Insulin is a hormone that helps lower blood sugar levels, and some women with gestational diabetes may need to take insulin injections to control their blood sugar.

Choice B is wrong because prenatal appointments do not help in diagnosing gestational diabetes.Gestational diabetes is usually diagnosed by a blood test that measures the glucose levels before and after meals.This test is typically done between 24 and 28 weeks of pregnancy.

Choice C is wrong because attending appointments does not ensure access to emotional support.Emotional support is important for pregnant women, especially those with gestational diabetes, but it can be provided by other sources such as family, friends, counselors or support groups.

Choice D is wrong because regular appointments do not allow for adjustment of insulin dosage.Insulin dosage is determined by the blood sugar levels of the woman, which she can monitor at home using a glucose meter.The doctor or midwife may adjust the insulin dosage based on the results of the blood tests and the feedback from the woman.

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 with gestational diabetes is prescribed insulin therapy. The nurse is educating the client on proper insulin administration techniques. Which of the following instructions should the nurse provide?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results of a pregnant woman who has gestational diabetes. The nurse expects to find which of the following findings?

Correct Answer is A

Explanation

A nurse is teaching a client with gestational diabetes about the importance of attending regular prenatal appointments. Which of the following statements accurately reflects the rationale behind this recommendation?

Correct Answer is A

Explanation

A client with a history of impaired glucose tolerance asks the nurse about the potential impact on her current pregnancy. The nurse explains that impaired glucose tolerance increases the risk of developing:.

A nurse is administering insulin to a pregnant woman who has gestational diabetes and is in labor. The nurse should monitor the woman's blood glucose levels every how often during labor?

In gestational diabetes, the condition primarily affects the?

A nurse is reviewing the antenatal care plan for a pregnant woman who has gestational diabetes and is taking oral antidiabetic drugs. The nurse should expect the woman to have which of the following tests to monitor the effects of the medication on the baby?

A nurse is assessing a pregnant woman who has gestational diabetes for complications of hyperglycemia during labor and delivery. The nurse should monitor the woman for which of the following signs and symptoms?

A nurse is assessing a newborn whose mother has gestational diabetes for signs of macrosomia. The nurse should measure which of the following parameters to determine if the newborn has macrosomia?

A nurse is assessing a pregnant woman who has gestational diabetes for signs of hyperglycemia. The nurse should monitor the woman for which of the following findings?

The primary risk factor for gestational diabetes is?

A client with gestational diabetes is prescribed insulin therapy.

The nurse is educating the client on proper insulin administration techniques.

Which of the following instructions should the nurse provide?