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 D
Explanation
The correct answer is choice D. Notify the provider.
A blood glucose level of 200 mg/dL (11.1 mmol/L) after a meal is too high for a pregnant woman with gestational diabetes and indicates poor glycemic control.
The provider should be informed of this result and may adjust the woman’s treatment plan accordingly.
Choice A is wrong because insulin is not always prescribed for gestational diabetes.
Some women can manage their blood sugar levels with diet and exercise alone.
Insulin should only be administered as prescribed by the provider and not based on a single test result.
Choice B is wrong because drinking water will not lower the blood glucose level significantly.
Water can help prevent dehydration and constipation, which are common problems in pregnancy, but it does not affect insulin sensitivity or glucose metabolism.
Choice C is wrong because repeating the test in 15 minutes will not change the outcome.
A blood glucose level of 200 mg/dL (11.1 mmol/L) after a meal is clearly abnormal and needs immediate attention.
Delaying the notification of the provider may increase the risk of complications for the woman and her baby.
According to Diabetic.org, the normal blood glucose levels for gestational diabetes are:
• Fasting: less than 95 mg/dL (5.3 mmol/L)
• One hour after a meal: less than 140 mg/dL (7.8 mmol/L)
• Two hours after a meal: less than 120 mg/dL (6.7 mmol/L)
These levels may vary slightly depending on the clinic or lab, but
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.
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