A nurse is assessing a pregnant woman who has gestational diabetes for possible complications.
The nurse should monitor the woman for which of the following signs and symptoms?
Polyuria, polydipsia, and polyphagia
Hypotension, bradycardia, and bradypnea
Nausea, vomiting, and abdominal pain.
Headache, blurred vision, and drowsiness.
The Correct Answer is A
The correct answer is
A. Polyuria, polydipsia, and polyphagia.
These are the classic signs and symptoms of diabetes, which occur due to high blood sugar levels. Gestational diabetes is a type of diabetes that develops during pregnancy and can affect the health of the mother and the baby.
B. Hypotension, bradycardia, and bradypnea.
Statement is wrong because these are signs of low blood pressure, low heart rate, and low breathing rate, which are not related to gestational diabetes.
C. Nausea, vomiting, and abdominal pain.
Statement is wrong because these are signs of ketoacidosis, a serious complication of diabetes that occurs when the body breaks down fat for energy and produces ketones. Ketoacidosis is rare in gestational diabetes and usually affects people with type 1 diabetes.
D. Headache, blurred vision, and drowsiness.
Statement is wrong because these are signs of hyperglycemia (high blood sugar) or hypertensive disorders (high blood pressure), which can occur in gestational diabetes but are not specific to it. They can also be caused by other conditions such as dehydration, infection, or preeclampsia.
Normal ranges for blood sugar levels during pregnancy are:
• Before meals: 3.5 to 5.9 mmol/L (63 to 106 mg/dL)
• One hour after meals: 7.8 mmol/L (140 mg/dL) or less
• Two hours after meals: 6.4 mmol/L (115 mg/dL) or less
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B. One-hour blood glucose level of 185 mg/dL.
This indicates that the woman has impaired glucose tolerance, which is a risk factor for gestational diabetes.According to Mayo Clinic, a normal blood glucose level is lower than 140 mg/dL (7.8 mmol/L) after a glucose tolerance test.
A blood glucose level between 140 and 199 mg/dL (7.8 and 11 mmol/L) is considered impaired glucose tolerance,
Correct Answer is D
Explanation
The correct answer is choice D. Thrush.
Thrush is a fungal infection that can affect the mouth, skin, or genitals.
It is more common in people with diabetes, especially if their blood sugar levels are not well controlled.High blood sugar levels can weaken the immune system and make it harder to fight off infections.
Choice A is wrong because pneumonia is a bacterial or viral infection of the lungs.It is not directly related to gestational diabetes, although having diabetes may increase the risk of respiratory infections in general.
Choice B is wrong because meningitis is an inflammation of the membranes that cover the brain and spinal cord.
It can be caused by bacteria, viruses, fungi, or other organisms.Gestational diabetes does not increase the risk of meningitis.
Choice C is wrong because cholecystitis is an inflammation of the gallbladder.
It can be caused by gallstones, infections, or other factors.Gestational diabetes does not increase the risk of cholecystitis.
Normal ranges for blood sugar levels during pregnancy are:
• Before meals: 3.5 to 5.9 mmol/L
• One hour after meals: 7.8 mmol/L or lower
• Two hours after meals: 6.4 mmol/L or lower
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