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. The woman had no episodes of hypoglycemia or hyperglycemia during pregnancy.
This outcome indicates that the interventions were successful in maintaining a normal blood glucose level for the woman and preventing complications for her and her baby.
Choice A is wrong because the recommended weight gain for a pregnant woman with gestational diabetes is 11.5 to 16 kg (25 to 35 lb).
Gaining less than 10 kg (22 lb) may indicate inadequate nutrition or poor glycemic control.
Choice B is wrong because the ideal birth weight for a baby of a woman with gestational diabetes is between 2.5 and 4 kg (5.5 and 8.8 lb).
A baby who weighs 3 kg (6.6 lb) at birth is within the normal range, but it does not necessarily reflect the effectiveness of the interventions.
Choice D is wrong because the woman’s blood glucose levels may or may not return to normal within six weeks after delivery.
Gestational diabetes usually resolves after giving birth, but some women may develop type 2 diabetes later in life.
Therefore, a postpartum glucose test is recommended to check the woman’s status.
Normal ranges for blood glucose levels during pregnancy are:
• Fasting: less than 95 mg/dL
• One hour after meals: less than 140 mg/dL
• Two hours after meals: less than 120 mg/dL
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