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.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

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

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

The correct answer is choice C. “I will monitor my portion sizes and calculate the number of carbohydrates I consume.” This statement indicates that the client understands the concept of carbohydrate counting, which is a method of planning meals based on the amount and type of carbohydrates in foods.

Carbohydrate counting helps to control blood glucose levels by matching insulin or medication doses to carbohydrate intake.

Choice A is wrong because protein intake does not directly affect blood glucose levels, although it is important to consume adequate protein for overall health and fetal development.

Choice B is wrong because fruits and vegetables are good sources of carbohydrates, vitamins, minerals, and fiber, and should not be avoided.

However, they should be counted as part of the total carbohydrate intake.

Choice D is wrong because consuming unlimited amounts of carbohydrates, even from whole grains, can cause hyperglycemia and complications for the mother and the fetus.

Whole grains are preferable to refined grains because they have more fiber and nutrients, but they still need to be measured and counted as carbohydrates.

A. Preterm labor B. Ectopic pregnancy C. Gestational diabetes D. Gestational hypertension

Correct Answer is C

Explanation

The correct answer is choice C. Gestational diabetes.Impaired glucose tolerance in pregnancy means that the blood sugar levels are elevated, but not high enough to be diagnosed with diabetes.However, this condition increases the risk of developing gestational diabetes, which is a type of diabetes that occurs only during pregnancy and affects both the mother and the baby.

Choice A is wrong because preterm labor is not directly caused by impaired glucose tolerance, although gestational diabetes may increase the risk of preterm labor.

Choice B is wrong because ectopic pregnancy is not related to impaired glucose tolerance or gestational diabetes.Ectopic pregnancy occurs when a fertilized egg implants outside the uterus, usually in the fallopian tube.

Choice D is wrong because gestational hypertension is not caused by impaired glucose tolerance, although gestational diabetes may increase the risk of gestational hypertension.Gestational hypertension is high blood pressure that develops after 20 weeks of pregnancy and goes away after delivery.

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 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 instructing a client with gestational diabetes on carbohydrate counting. Which of the following statements by the client indicates understanding of the teaching?

Correct Answer is C

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:.

Correct Answer is C

Explanation

A nurse is providing dietary education to a pregnant woman who has gestational diabetes and a BMI of 30. The nurse should advise the woman to consume how many calories per day during the third trimester of pregnancy.?

A nurse is reviewing the risk factors for developing gestational diabetes with a group of pregnant women during a prenatal class. The nurse should include which of the following factors in the teaching?

A nurse is preparing a pregnant woman for a glucose tolerance test to screen for gestational diabetes. The nurse should instruct the woman to do which of the following before the test?

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?

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?

A nurse is instructing a pregnant woman who has gestational diabetes on how to use a glucose meter to monitor her blood sugar levels at home. The nurse should tell the woman to do which of the following?

A nurse is administering insulin to a pregnant woman who has gestational diabetes and is experiencing symptoms of hyperglycemia. The nurse should use which of the following types of insulin to provide rapid-acting blood glucose control?

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?

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?