A nurse is evaluating the outcomes of care for a pregnant woman who has gestational diabetes and received insulin therapy during pregnancy.

Which of the following findings indicates that the insulin therapy was effective?

The woman had normal blood pressure and urine protein levels throughout pregnancy

The woman delivered a healthy 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 B

The correct answer is choice B. The woman delivered a healthy baby who weighed 3 kg (6.6 lb) at birth. This indicates that the insulin therapy was effective in preventing macrosomia, which is a common complication of gestational diabetes mellitus (GDM) . Macrosomia is defined as a birth weight above the 90th percentile for gestational age or above 4 kg (8.8 lb) . Macrosomia increases the risk of birth trauma, shoulder dystocia, cesarean section, and neonatal hypoglycemia .

Choice A is wrong because normal blood pressure and urine protein levels throughout pregnancy are not specific indicators of insulin therapy effectiveness. They are more related to the prevention of pre-eclampsia, which is a separate complication of pregnancy that can affect women with or without GDM .

Choice C is wrong because having no episodes of hypoglycemia or hyperglycemia during pregnancy is not sufficient to indicate insulin therapy

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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

A. One hour B. Two hours C. Three hours D. Four hours

Correct Answer is A

Explanation

The correct answer is choice A. The nurse should check the newborn’s blood glucose level within one hour after birth.This is because infants born to mothers with gestational diabetes are at risk of developing hypoglycemia due to increased insulin secretion in response to maternal-fetal hyperglycemia.Hypoglycemia can cause neurological damage and other complications in newborns, so early detection and treatment are essential.

Choice B is wrong because two hours after birth may be too late to prevent or treat hypoglycemia in some infants.

Choice C is wrong because three hours after birth is even later and may increase the risk of adverse outcomes.

Choice D is wrong because four hours after birth is the latest time to check the blood glucose level and may miss some cases of hypoglycemia that occur earlier.

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A nurse is evaluating the outcomes of care for a pregnant woman who has gestational diabetes and received insulin therapy during pregnancy. Which of the following findings indicates that the insulin therapy was effective?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a pregnant woman who has gestational diabetes and reports excessive sweating. The nurse should recognize that this symptom is most likely caused by which of the following factors?

Correct Answer is B

Explanation

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?

Correct Answer is A

Explanation

A nurse is discussing dietary modifications with a client with gestational diabetes. Which of the following food choices should the nurse recommend as part of a balanced meal plan?

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A nurse is assessing a pregnant woman who has gestational diabetes for possible complications. The nurse should monitor the woman for which of the following signs and symptoms?

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 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:.

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 instructing a pregnant woman who has gestational diabetes on how to use a glucose meter to monitor her blood sugar levels at home. The nurse should tell the woman to do which of the following?

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?

A nurse is evaluating the outcomes of care for a pregnant woman who has gestational diabetes and received insulin therapy during pregnancy.

Which of the following findings indicates that the insulin therapy was effective?