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 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
Correct Answer is A
Explanation
A nurse is teaching a pregnant woman who has gestational diabetes about how to prevent type 2 diabetes in the future.
Which of the following statements by the woman indicates an understanding of the teaching?.
A. “I should have my blood glucose levels checked every year.”.
B. “I should avoid breastfeeding my baby.”.
C. “I should gain weight gradually after delivery.”.
D. “I should take oral antidiabetic drugs as prescribed.
Answer and explanation..
The correct answer is choice A.“I should have my blood glucose levels checked every year.” This statement indicates that the woman understands that she is at high risk of developing type 2 diabetes after having gestational diabetes and that regular screening can help detect it early and prevent complications.
Choice B is wrong because breastfeeding can actually lower the risk of type 2 diabetes in women who had gestational diabetes.Breastfeeding can also benefit the baby by reducing the risk of obesity and diabetes later in life.
Choice C is wrong because gaining weight gradually after delivery can increase the risk of type 2 diabetes in women who had gestational diabetes.
Losing excess weight and
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