A nurse is assessing a newborn whose mother has gestational diabetes for signs of hypoglycemia.

The nurse should check the newborn’s blood glucose level within how many hours after birth?

One hour

Two hours

Three hours

Four hours

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. The nurse should check the newborn’s blood glucose level within one hour after birth. This is because infants born to mothers with gestational diabetes are at risk of developing hypoglycemia due to increased insulin secretion in response to maternal-fetal hyperglycemia. Hypoglycemia can cause neurological damage and other complications in newborns, so early detection and treatment are essential.

Choice B is wrong because two hours after birth may be too late to prevent or treat hypoglycemia in some infants.

Choice C is wrong because three hours after birth is even later and may increase the risk of adverse outcomes.

Choice D is wrong because four hours after birth is the latest time to check the blood glucose level and may miss some cases of hypoglycemia that occur earlier.

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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.

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.

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A nurse is assessing a newborn whose mother has gestational diabetes for signs of hypoglycemia. The nurse should check the newborn’s blood glucose level within how many hours after birth?

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Naxlex Comprehensive Predictor Exams

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:.

Correct Answer is C

Explanation

The primary risk factor for gestational diabetes is?

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?

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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 discussing dietary modifications with a client with gestational diabetes. Which of the following food choices should the nurse recommend as part of a balanced meal plan?

A nurse is reviewing the laboratory results of a pregnant woman who is being screened for gestational diabetes. The nurse notes that the woman has a fasting blood glucose level of 100 mg/dL. Which of the following actions should the nurse take?

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 teaching a pregnant woman who has gestational diabetes about the importance of diagnosing and treating the condition. The nurse should explain that untreated gestational diabetes can lead to which of the following complications for the baby?

A nurse is assessing a newborn whose mother has gestational diabetes for signs of hypoglycemia.

The nurse should check the newborn’s blood glucose level within how many hours after birth?