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?

The woman gained less than 10 kg (22 lb) during pregnancy

The woman delivered a baby who weighed 3 kg (6.6 lb) at birth

The woman had no episodes of hypoglycemia or hyperglycemia during pregnancy

The woman’s blood glucose levels returned to normal within six weeks after delivery

Answer and Explanation

The Correct Answer is C

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

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Correct Answer is B

Explanation

The correct answer is choice B. Drink water only for 8 hours before the test.This is because the test measures how your body responds to sugar (glucose) and drinking water will not affect your blood sugar levels.The test involves drinking a sugary drink and having your blood drawn before and after to check how your body handles the glucose.

Choice A is wrong because eating a high-carbohydrate meal the night before will raise your blood sugar levels and may interfere with the test results.

Choice C is wrong because caffeine and smoking can also affect your blood sugar levels and should be avoided before the test.

Choice D is wrong because some medications can affect your blood sugar levels and should be discussed with your doctor before the test.

The normal range for blood sugar levels during the glucose tolerance test is below 140 mg/dL (7.8 mmol/L) at one hour after drinking the sugary drink.If your level is higher than that, you may have gestational diabetes and need further testing.Gestational diabetes is a condition that develops during pregnancy and can cause problems for you and your baby if not well managed.

A. Inform the woman that she does not have gestational diabetes B. Repeat the test in one week C. Perform a glucose tolerance test D. Administer insulin as prescribed

Correct Answer is C

Explanation

The correct answer is choice C. Perform a glucose tolerance test.

A fasting blood glucose level of 100 mg/dL is considered borderline for gestational diabetes and indicates the need for further testing.

A glucose tolerance test measures how the body responds to a glucose load and can diagnose gestational diabetes.

Choice A is wrong because a fasting blood glucose level of 100 mg/dL is not normal for a pregnant woman and does not rule out gestational diabetes.

Choice B is wrong because repeating the test in one week will not provide any additional information and may delay the diagnosis and treatment of gestational diabetes.

Choice D is wrong because insulin is not prescribed unless the woman has confirmed gestational diabetes and fails to control her blood glucose levels with diet and exercise.

The normal range for fasting blood glucose in pregnancy is 70 to 95 mg/dL.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a pregnant woman for a glucose tolerance test to screen for gestational diabetes. The nurse should instruct the woman to do which of the following before the test?

Correct Answer is B

Explanation

A nurse is reviewing the laboratory results of a pregnant woman who is being screened for gestational diabetes. The nurse notes that the woman has a fasting blood glucose level of 100 mg/dL. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is reviewing the risk factors for developing gestational diabetes with a group of pregnant women during a prenatal class. The nurse should include which of the following factors in the teaching?

A nurse is preparing to administer oral glucose to a pregnant woman who has gestational diabetes and is experiencing symptoms of hyperglycemia. The nurse should use which of the following routes to administer the glucose?

A nurse is assessing a newborn whose mother has gestational diabetes for signs of hypoglycemia. The nurse should check the newborn’s blood glucose level within how many hours after birth?

A nurse is teaching a pregnant woman who has gestational diabetes about how to recognize and manage symptoms of hyperglycemia after delivery. Which of the following statements by the woman indicates an understanding of the teaching?

A nurse is providing dietary education to a pregnant woman who has gestational diabetes and a BMI of 30. The nurse should advise the woman to consume how many calories per day during the third trimester of pregnancy.?

A nurse is caring for a newborn whose mother has gestational diabetes. The nurse should monitor the newborn for which of the following complications?

A nurse is assessing a newborn whose mother has gestational diabetes for signs of macrosomia. The nurse should measure which of the following parameters to determine if the newborn has macrosomia?

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?

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?