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

Answer and Explanation

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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Correct Answer is C

Explanation

The correct answer is choice C. The woman had no episodes of hypoglycemia or hyperglycemia during pregnancy.This indicates that the interventions were successful in maintaining normal blood glucose levels and preventing complications for the mother and the baby.

Choice A is wrong because the woman gained less than 10 kg (22 lb) during pregnancy.

This is below the recommended weight gain range for women with gestational diabetes, which depends on their pre-pregnancy body mass index (BMI).According to a study based on over 12 thousand participants, the ideal weight gain range for women with gestational diabetes was 10–15.9 kg for underweight, 8–11.9 kg for normal weight, 6–7.9 kg for overweight, and -5–3.9 kg for obesity.

Choice B is wrong because the woman delivered a baby who weighed 3 kg (6.6 lb) at birth.

This is within the normal range for birth weight, but it does not necessarily reflect the effectiveness of the interventions for gestational diabetes.A baby born to a mother with gestational diabetes may be at risk of being large for gestational age (LGA), which is defined as a birth weight above the 90th percentile for gestational age.LGA babies may have complications such as shoulder dystocia, hypoglycemia, and respiratory distress syndrome.

Choice D is wrong because the woman’s blood glucose levels returned to normal within six weeks after delivery.

This is a desirable outcome, but it does not indicate that the interventions were successful during pregnancy.

Gestational diabetes usually

A. Preterm labor B. Ectopic pregnancy. C. Gestational hypertension D. Gestational diabetes

Correct Answer is D

Explanation

The correct answer is choice D. Gestational diabetes.

Gestational diabetes is a condition in which a woman without diabetes develops high blood sugar levels during pregnancy.

It can cause complications for both the mother and the baby, such as preeclampsia, macrosomia, and neonatal hypoglycemia.An elevated BMI increases the risk of developing gestational diabetes because excess body fat can impair insulin sensitivity and secretion.

Choice A is wrong because preterm labor is not directly related to BMI, but rather to other factors such as infections, cervical insufficiency, or multiple gestation.

Choice B is wrong because ectopic pregnancy is not associated with BMI, but rather with pelvic inflammatory disease, tubal surgery, or previous ectopic pregnancy.

Choice C is wrong because gestational hypertension is not caused by BMI alone, but rather by genetic factors, chronic hypertension, or renal disease.

Normal ranges for BMI are 18.5-24.9 kg/m2 for normal weight, 25.0-29.9 kg/m2 for overweight, and 30.0 kg/m2 or higher for obesity.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A client with a body mass index (BMI) of 32 asks the nurse about the potential risks during pregnancy. The nurse explains that an elevated BMI increases the risk of developing:.

Correct Answer is D

Explanation

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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?