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
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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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
The correct answer is choice A. A 32-year-old woman who is obese and has PCOS.
This woman has two major risk factors for developing gestational diabetes: obesity and polycystic ovary syndrome (PCOS).Obesity increases insulin resistance and PCOS is associated with hormonal imbalances that affect glucose metabolism.
Choice B is wrong because being Asian and having a previous baby who weighed 4 kg (8.8 lb) at birth are not as strong risk factors as obesity and PCOS.However, they do increase the risk slightly.
Choice C is wrong because being Caucasian and having impaired glucose tolerance are also not as strong risk factors as obesity and PCOS.Impaired glucose tolerance means that the blood sugar level is higher than normal but not high enough to be diagnosed as diabetes.
Choice D is wrong because being Hispanic and having a parent with type 2 diabetes are also not as strong risk factors as obesity and PCOS.However, they do increase the risk slightly.
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
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