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

Answer and Explanation

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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Correct Answer is D

Explanation

The correct answer is choice D. Gestational diabetes.

Gestational diabetes is a condition in which a woman without diabetes develops high blood sugar levels during pregnancy.

It can cause complications for both the mother and the baby, such as preeclampsia, macrosomia, and neonatal hypoglycemia.An elevated BMI increases the risk of developing gestational diabetes because excess body fat can impair insulin sensitivity and secretion.

Choice A is wrong because preterm labor is not directly related to BMI, but rather to other factors such as infections, cervical insufficiency, or multiple gestation.

Choice B is wrong because ectopic pregnancy is not associated with BMI, but rather with pelvic inflammatory disease, tubal surgery, or previous ectopic pregnancy.

Choice C is wrong because gestational hypertension is not caused by BMI alone, but rather by genetic factors, chronic hypertension, or renal disease.

Normal ranges for BMI are 18.5-24.9 kg/m2 for normal weight, 25.0-29.9 kg/m2 for overweight, and 30.0 kg/m2 or higher for obesity.

A. Hypertension B. Osteoporosis C. Type 2 diabetes D. Thyroid disease

Correct Answer is C

Explanation

The correct answer is choice C. Type 2 diabetes.The nurse should explain that the woman has a higher risk of developing type 2 diabetes later in life because gestational diabetes is a condition where the body cannot use insulin properly during pregnancy.This can lead to high blood sugar levels and affect the health of both the mother and the baby.Gestational diabetes usually goes away after the baby is born, but it increases the chance of getting type 2 diabetes in the future.According to the CDC, up to 50% of women with gestational diabetes will develop type 2 diabetes within 5 to 10 years after delivery.

Choice A is wrong because hypertension is not directly related to gestational diabetes.However, high blood pressure can be a complication of pregnancy and can increase the risk of preeclampsia, a serious condition that can affect both the mother and the baby.

Choice B is wrong because osteoporosis is not directly related to gestational diabetes.

Osteoporosis is a condition where the bones become weak and brittle due to loss of bone density.It can be influenced by factors such as age, genetics, diet, lifestyle, and hormonal changes.

Choice D is wrong because thyroid disease is not directly related to gestational diabetes.

Thyroid disease is a condition where the thyroid gland produces too much or too little thyroid hormone, which regulates the metabolism and other body functions.It can be caused by autoimmune disorders, infections, tumors, medications, or iodine deficiency.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a body mass index (BMI) of 32 asks the nurse about the potential risks during pregnancy. The nurse explains that an elevated BMI increases the risk of developing:.

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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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?