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?
Wash her hands with soap and water before testing
Prick the side of her fingertip with a lancet
Apply gentle pressure to the puncture site until a drop of blood forms
All of the above
The Correct Answer is D
The nurse should tell the woman to wash her hands with soap and water before testing, prick the side of her fingertip with a lancet, and apply gentle pressure to the puncture site until a drop of blood forms. These steps are necessary to ensure a clean and adequate blood sample for the glucose meter.
Choice A is wrong because washing hands with soap and water is not enough. The woman should also dry her hands thoroughly to avoid diluting the blood sample.
Choice B is wrong because pricking the side of the fingertip with a lancet is not enough. The woman should also avoid squeezing the finger too hard, as this can affect the accuracy of the result.
Choice C is wrong because applying gentle pressure to the puncture site until a drop of blood forms is not enough. The woman should also wipe away the first drop of blood with a clean tissue and use the second drop for testing.
Normal ranges for blood glucose levels during pregnancy are 60 to 105 mg/dL before meals and less than 120 mg/dL one hour after meals.
The woman should report any abnormal readings to her health care provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
The correct answer is choice C. Choose foods that are high in fiber and low in fat.
This instruction will help the client control blood glucose levels and prevent constipation, which is common in pregnancy.
Foods high in fiber include fruits, vegetables, whole grains, beans, nuts, and seeds.
Foods low in fat include lean meats, poultry, fish, low-fat dairy products, and vegetable oils.
Choice A is wrong because eating three large meals per day with snacks in between can cause spikes and drops in blood glucose levels.
The client should eat smaller, more frequent meals throughout the day to maintain a steady blood glucose level.
Choice B is wrong because limiting carbohydrate intake to less than 40% of total calories can lead to ketosis, which is harmful for the fetus.
The client should consume about 45% to 65% of total calories from carbohydrates, preferably from complex sources such as whole grains, fruits, and vegetables.
Choice D is wrong because avoiding foods that contain artificial sweeteners is not necessary for gestational diabetes.
Artificial sweeteners do not affect blood glucose levels and can be used in moderation as part of a balanced diet.
However, the client should limit foods and beverages that are high in sugar and calories, such as soda, candy, cake, and ice cream.
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