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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A. Fetal distress.According to the search results, maternal hyperglycemia during labor is highly associated with macrosomia in neonates, which can lead to fetal distress due to shoulder dystocia, birth trauma, or hypoxia.
Fetal distress can be detected by abnormal fetal heart rate patterns or meconium-stained amniotic fluid.
Choice B. Uterine atony is wrong because it is not a direct complication of hyperglycemia during labor.
Uterine atony is a failure of the uterus to contract after delivery, which can cause postpartum hemorrhage.
It can be caused by multiple factors such as prolonged labor, overdistension of the uterus, infection, or medications.
Choice C. Maternal hypothermia is wrong because it is not a common complication of hyperglycemia during labor.
Maternal hypothermia can occur due to exposure to cold environment, anesthesia, or infection.
It can affect the maternal and fetal metabolism and oxygenation.
Choice D. Placental abruption is wrong because it is not a direct complication of hyperglycemia during labor.
Placental abruption is a premature separation of the placenta from the uterine wall, which can cause fetal and maternal hemorrhage, hypoxia, and shock.
It can be caused by trauma, hypertension, smoking, or cocaine use.
Correct Answer is C
Explanation
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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