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 C
Explanation
The correct answer is choice C. “I will monitor my portion sizes and calculate the number of carbohydrates I consume.” This statement indicates that the client understands the concept of carbohydrate counting, which is a method of planning meals based on the amount and type of carbohydrates in foods.
Carbohydrate counting helps to control blood glucose levels by matching insulin or medication doses to carbohydrate intake.
Choice A is wrong because protein intake does not directly affect blood glucose levels, although it is important to consume adequate protein for overall health and fetal development.
Choice B is wrong because fruits and vegetables are good sources of carbohydrates, vitamins, minerals, and fiber, and should not be avoided.
However, they should be counted as part of the total carbohydrate intake.
Choice D is wrong because consuming unlimited amounts of carbohydrates, even from whole grains, can cause hyperglycemia and complications for the mother and the fetus.
Whole grains are preferable to refined grains because they have more fiber and nutrients, but they still need to be measured and counted as carbohydrates.
Correct Answer is B
Explanation
The correct answer is choice B. Hypoglycemia.Excessive sweating is a common symptom of low blood sugar (glucose) levels, which can occur in gestational diabetes if the woman takes too much insulin or does not eat enough carbohydrates.Hypoglycemia can also cause other symptoms such as shakiness, dizziness, hunger, headache, and confusion.
Choice A is wrong because dehydration does not cause excessive sweating, but rather the opposite.Dehydration can occur if the woman has high blood sugar levels, which can cause increased thirst and urination.
Choice C is wrong because ketoacidosis is a serious complication of diabetes that occurs when the body breaks down fat for energy due to lack of insulin.Ketoacidosis can cause symptoms such as nausea, vomiting, abdominal pain, fruity breath odor, and rapid breathing.
Excessive sweating is not a typical sign of ketoacidosis.
Choice D is wrong because anemia is a condition in which the blood does not have enough red blood cells or hemoglobin to carry oxygen to the tissues.Anemia can cause symptoms such as fatigue, weakness, pale skin, shortness of breath, and chest pain.
Excessive sweating is not a common symptom of anemia.
Normal ranges for blood glucose levels during pregnancy are:
• Fasting: 60 to 95 mg/dL
• One hour after a meal: 100 to 129 mg/dL
• Two hours after a meal: 70 to 119 mg/dL
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