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?

Every hour

Every two hours

Every four hours

Every six hours

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. The nurse should monitor the woman’s blood glucose levels every hour during labor. This is because the goal of intrapartum insulin therapy is maternal and fetal euglycemia with a maternal glucose less than 90 mg/dL. Hourly blood glucose monitoring can help adjust the insulin infusion rate and prevent hypoglycemia or hyperglycemia.

Choice B is wrong because every two hours is not frequent enough to maintain optimal glucose control during labor.

Choice C is wrong because every four hours is too long to wait between blood glucose checks and could lead to complications.

Choice D is wrong because every six hours is even longer and more risky than choice C. Normal ranges for blood glucose levels during labor are between 4.0 and 6.0-7.0 mmol/L (72-108 mg/dL). Women with gestational diabetes who require less than 1.0 units/kg/d of insulin may not need intravenous insulin, but they still need to be monitored regularly.

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Correct Answer is A

Explanation

The correct answer is choice A. Higher insulin resistance.According to a systematic review of gestational diabetes mellitus (GDM) in Africa, African-Caribbean women have higher insulin resistance than other ethnic groups, which increases their risk of developing GDM.

Insulin resistance is a condition where the body does not respond well to the hormone insulin, which regulates blood sugar levels.

Choice B is wrong because lower birth weight is not associated with GDM in African-Caribbean women.In fact, some studies have found that GDM increases the risk of macrosomia (large for gestational age infants) and higher mean birth weight.

Choice C is wrong because earlier onset of diabetes is not a characteristic of African-Caribbean women with GDM.

GDM is usually diagnosed in the second or third trimester of pregnancy, regardless of ethnicity.However, women with GDM have a higher risk of developing type 2 diabetes later in life.

Choice D is wrong because faster resolution of diabetes is not a characteristic of African-Caribbean women with GDM.Most women with GDM revert to normal glucose metabolism after delivery, but some may have persistent glucose intolerance or diabetes.The risk of developing type 2 diabetes after GDM is also higher for African-Caribbean women than other ethnic groups.

A. Head circumference B. Chest circumference C. Abdominal circumference D. Birth weight

Correct Answer is D

Explanation

The correct answer is choice D. Birth weight.

The nurse should measure the birth weight of the newborn to determine if the newborn has macrosomia.Macrosomia is a condition in which a baby has a weight of more than 8 pounds, 13 ounces at birth.It is commonly caused by medical conditions, such as obesity or diabetes, of the mother during pregnancy.

Choice A is wrong because head circumference is not a reliable indicator of macrosomia.Some babies may have a large head circumference due to genetic factors or hydrocephalus, but not necessarily due to macrosomia.

Choice B is wrong because chest circumference is not a reliable indicator of macrosomia.Some babies may have a large chest circumference due to genetic factors or congenital heart defects, but not necessarily due to macrosomia.

Choice C is wrong because abdominal circumference is not a reliable indicator of macrosomia.Some babies may have a large abdominal circumference due to genetic factors or abdominal wall defects, but not necessarily due to macrosomia.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a pregnant woman who has gestational diabetes and is of African-Caribbean origin. The nurse should recognize that the woman's ethnicity is associated with which of the following characteristics?

Correct Answer is A

Explanation

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?

Correct Answer is D

Explanation

A nurse is preparing to administer intravenous glucose to a newborn whose mother has gestational diabetes and who has hypoglycemia. The nurse should recognize that this intervention is necessary to prevent which of the following complications?

A nurse is evaluating the effectiveness of nursing interventions for a pregnant woman who has gestational diabetes and received nutritional therapy and exercise counseling during pregnancy. Which of the following outcomes indicates that the interventions were successful?

A nurse is evaluating the blood glucose levels of a pregnant woman who has gestational diabetes after a glucose tolerance test. Which of the following results indicates that the woman has impaired glucose tolerance?

A nurse is teaching a pregnant woman who has gestational diabetes about how to recognize and manage symptoms of hyperglycemia after delivery. Which of the following statements by the woman indicates an understanding of the teaching?