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 A

Explanation

The correct answer is choice A. The nurse should monitor the woman’s blood glucose levels every hour during labor.This is because maternal blood glucose levels around the time of delivery are directly related to the risk of neonatal hypoglycemia.Therefore, achieving maternal euglycemia in women with gestational diabetes mellitus is critical to decreasing the risk of neonatal complications.

Choice B is wrong because every two hours is not frequent enough to ensure optimal glucose control during labor.

Choice C is wrong because every four hours is even less frequent and may miss significant fluctuations in blood glucose levels.

Choice D is wrong because every six hours is too infrequent and may put the mother and the baby at risk of adverse outcomes.

The maternal glucose should be maintained between 4.0 and 6.0-7.0 mmol/L during labor.Most women with gestational diabetes, especially if they require less than 1.0 units/kg/d of insulin, can simply be monitored without intravenous insulin.However, women who are taking medication for gestational diabetes require more frequent glucose monitoring, typically with hourly evaluations.

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

Correct Answer is C

Explanation

The correct answer is choice C. Gestational diabetes.Impaired glucose tolerance in pregnancy means that the blood sugar levels are elevated, but not high enough to be diagnosed with diabetes.However, this condition increases the risk of developing gestational diabetes, which is a type of diabetes that occurs only during pregnancy and affects both the mother and the baby.

Choice A is wrong because preterm labor is not directly caused by impaired glucose tolerance, although gestational diabetes may increase the risk of preterm labor.

Choice B is wrong because ectopic pregnancy is not related to impaired glucose tolerance or gestational diabetes.Ectopic pregnancy occurs when a fertilized egg implants outside the uterus, usually in the fallopian tube.

Choice D is wrong because gestational hypertension is not caused by impaired glucose tolerance, although gestational diabetes may increase the risk of gestational hypertension.Gestational hypertension is high blood pressure that develops after 20 weeks of pregnancy and goes away after delivery.

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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 caring for a pregnant woman who has gestational diabetes and is in labor. The nurse should monitor the woman’s blood glucose levels every how often during labor?

Correct Answer is A

Explanation

A client with a history of impaired glucose tolerance asks the nurse about the potential impact on her current pregnancy. The nurse explains that impaired glucose tolerance increases the risk of developing:.

Correct Answer is C

Explanation

A nurse is evaluating the blood glucose levels of a pregnant woman who has gestational diabetes after a meal. The nurse notes that the woman has a blood glucose level of 200 mg/dL. Which of the following actions should the nurse take?

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 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 reviewing the medical records of four pregnant women who are being screened for gestational diabetes. Which of the following women has the highest risk factor for developing gestational diabetes?

A nurse is providing education to a pregnant woman who has gestational diabetes. The nurse should explain that the woman has a higher risk of developing which of the following conditions in the future?

A nurse is reviewing the laboratory results of a pregnant woman who has gestational diabetes and is experiencing symptoms of hyperglycemia. The nurse expects to find which of the following findings?

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?

A nurse is planning care for a pregnant woman who has gestational diabetes and a history of prediabetes. Which of the following interventions should the nurse include in the plan?

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?