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 C

Explanation

The correct answer is

C. Type 2 diabetes.

Gestational diabetes (GDM) is a condition where the blood sugar levels are higher than normal during pregnancy.It usually goes away after giving birth, but it can increase the risk of developing type 2 diabetes later in life.

Type 2 diabetes is a chronic condition that affects how the body uses glucose (sugar) for energy.It can cause serious complications such as heart disease, kidney damage, nerve damage, eye problems and more.

A. Hypothyroidism is a condition where the thyroid gland does not produce enough thyroid hormones, which regulate the metabolism and other body functions.

It can cause symptoms such as fatigue, weight gain, depression, dry skin and hair loss.Hypothyroidism is not directly linked to gestational diabetes, but it can affect pregnancy outcomes and increase the risk of miscarriage, preterm birth and low birth weight.

B. Asthma is a condition where the airways become inflamed and narrow, making it hard to breathe.

It can cause symptoms such as wheezing, coughing, chest tightness and shortness of breath.Asthma is not directly linked to gestational diabetes, but it can affect pregnancy outcomes and increase the risk of preterm birth, low birth weight and preeclampsia.

D. Breast cancer is a type of cancer that starts in the breast tissue.

It can cause symptoms such as a lump in the breast, nipple discharge, skin changes and pain.Breast cancer is not directly linked to gestational diabetes, but it can be influenced by hormonal factors such as estrogen and progesterone levels, which may change during pregnancy and after menopause.

A. Regular insulin B. NPH insulin C. Glargine insulin D. Lispro insulin

Correct Answer is D

Explanation

The correct answer is choice D. Lispro insulin.

Lispro insulin is a rapid-acting insulin that can be injected 15 minutes before a meal to lower blood sugar.It is safe and effective for pregnant women with gestational diabetes.

Choice A is wrong because regular insulin is a short-acting insulin that needs to be injected 30 minutes before a meal.It may not provide enough control over blood sugar levels during pregnancy.

Choice B is wrong because NPH insulin is an intermediate-acting insulin that has a peak effect several hours after injection.It may cause low blood sugar (hypoglycemia) or high blood sugar (hyperglycemia) if not timed correctly with meals and snacks.

Choice C is wrong because glargine insulin is a long-acting insulin that provides a steady level of insulin throughout the day.

It cannot be mixed with other types of insulin

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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?

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Naxlex Comprehensive Predictor Exams

The long-term implications of gestational diabetes primarily include an increased risk of developing

Correct Answer is C

Explanation

A nurse is preparing to administer insulin to a pregnant woman who has gestational diabetes. Which of the following types of insulin should the nurse use?

Correct Answer is D

Explanation

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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?

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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?