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
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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Related Questions
Correct Answer is C
Explanation
The correct answer is choice C. Blurred vision.
Blurred vision is a sign of hyperglycemia, which means high blood sugar.Hyperglycemia can occur in pregnant women who have gestational diabetes, a condition that develops during pregnancy and usually disappears after giving birth.Hyperglycemia can cause problems for the mother and the baby if not treated properly.
Choice A is wrong because hypotension means low blood pressure, which is not a sign of hyperglycemia.Hypotension can have other causes, such as dehydration, bleeding, or infection.
Choice B is wrong because bradycardia means slow heart rate, which is not a sign of hyperglycemia.Bradycardia can have other causes, such as heart disease, medication, or hypothyroidism.
Choice D is wrong because pallor means pale skin, which is not a sign of hyperglycemia.Pallor can have other causes, such as anemia, shock, or low blood flow.
Some other signs of hyperglycemia include increased thirst, frequent urination, excessive sweating, fatigue, and genital itching or thrush.Normal blood sugar ranges for pregnant women are 60 to 99 mg/dL before meals and less than 120 mg/dL one hour after meals.
Correct Answer is C
Explanation
The correct answer is choice C.Being older than 25 years at the time of pregnancy is a risk factor for developing gestational diabetes.Gestational diabetes is a type of diabetes that can develop during pregnancy in women who don’t already have diabetes.It occurs when the body can’t make enough insulin during pregnancy.
Choice A is wrong because being underweight before pregnancy is not a risk factor for gestational diabetes.In fact, obesity is one of the biggest risk factors for this condition.
Choice B is wrong because having a history of infertility or miscarriage is not a risk factor for gestational diabetes.However, having a family history of diabetes is a risk factor.
Choice D is wrong because having a family history of autoimmune disease is not a risk factor for gestational diabetes.
Autoimmune diseases are conditions where the immune system attacks the body’s own tissues, such as type 1 diabetes or rheumatoid arthritis.Gestational diabetes is not an autoimmune disease, but rather a disorder of insulin resistance.
Normal ranges for blood glucose levels during pregnancy are:
• Fasting: less
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