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,
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D. No history of endocrine disorder.This is because having a history of endocrine disorder, such as thyroid disease or polycystic ovary syndrome, can increase the risk of developing gestational diabetes.
Choice A is wrong because being of African-Caribbean origin is not a risk factor for gestational diabetes.The ethnic groups that have higher risk include Asian, Hispanic, Native American, and Pacific Islander.
Choice B is wrong because normal body mass index (BMI) is not a risk factor for gestational diabetes.On the contrary, having a high BMI (over 30) before pregnancy or gaining too much weight during pregnancy can increase the risk of gestational diabetes.
Choice C is wrong because no family history of diabetes is not a risk factor for gestational diabetes.Having a family history of diabetes, especially in a first-degree relative (such as a parent or sibling), can increase the risk of gestational diabetes.
Normal ranges for blood glucose levels during pregnancy are:
• Fasting: less than 95 mg/dL
• One hour after meal: less than 140 mg/dL
• Two hours after meal: less than 120 mg/dL
Correct Answer is A
Explanation
The correct answer is choice A. Nonstress test.A nonstress test is a screening tool that uses fetal heart rate patterns and accelerations as an indicator of fetal well-being.It is commonly performed for pregnant women who have gestational diabetes and are taking oral antidiabetic drugs to monitor the effects of the medication on the baby.
Choice B. Biophysical profile is wrong because it is an ultrasound assessment of the fetal status with an NST.It utilizes ultrasound with EFM to assess five variables: fetal breathing movements, fetal movement, fetal tone, amniotic fluid volume, and fetal heart rate.
Choice C.Amniocentesis is wrong because it is a diagnostic procedure where a needle is inserted through the abdominal wall into the uterine cavity to obtain amniotic fluid and commonly performed for genetic testing, neural tube defects, fetal lung maturity, and hemolytic disease in the fetus or intrauterine infection.
Choice D. Chorionic villus sampling (CVS) is wrong because it is a diagnostic procedure where a needle is inserted through the abdominal wall into the uterine cavity to obtain chorionic villi (placental tissue) and commonly performed for chromosomal, metabolic and DNA testing.It does not test for neural tube defects.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.