A nurse is evaluating the blood glucose levels of a pregnant woman who has gestational diabetes after a glucose tolerance test.
Which of the following results indicates that the woman has impaired glucose tolerance?
Fasting blood glucose level of 95 mg/dL
One-hour blood glucose level of 185 mg/dL
Two-hour blood glucose level of 135 mg/dL
Three-hour blood glucose level of 105 mg/dL
The Correct Answer is B
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,
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice D. Previous history of gestational diabetes.This is because having gestational diabetes in a previous pregnancy increases the risk of developing it again in a subsequent pregnancy.According to the CDC, about 50% of women with gestational diabetes go on to develop type 2 diabetes later in life.
Choice A is wrong because advanced maternal age is not a primary risk factor for gestational diabetes, although it may increase the risk slightly.
Choice B is wrong because family history of diabetes is not a primary risk factor for gestational diabetes, although it may indicate a genetic predisposition to insulin resistance.
Choice C is wrong because smoking during pregnancy is not a primary risk factor for gestational diabetes, although it may have other adverse effects on the mother and the baby.
Some of the other risk factors for gestational diabetes include obesity, hormonal changes, polycystic ovary syndrome, and pregnancy over 30 years of age.Gestational diabetes can cause complications such as high blood pressure, preeclampsia, large birth weight, premature delivery, respiratory distress syndrome, and low blood sugar in the baby.Gestational diabetes can be managed with a healthy diet, exercise, and medication if needed.
Correct Answer is D
Explanation
The correct answer is choice D. Seizures.This intervention is necessary to prevent seizures because hypoglycemia can cause brain injury and neurologic impairment in newborns.Seizures are one of the most common signs of hypoglycemia in newborns.
Choice A is wrong because respiratory distress syndrome is caused by a lack of surfactant in the lungs, not by hypoglycemia.
Choice B is wrong because necrotizing enterocolitis is an inflammatory condition of the intestines that affects premature or sick infants, not by hypoglycemia.
Choice C is wrong because intraventricular hemorrhage is a bleeding into the brain ventricles that occurs mainly in very low birth weight infants, not by hypoglycemia.
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