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 A

Explanation

The correct answer is choice A. The nurse should check the newborn’s blood glucose level within one hour after birth.This is because infants born to mothers with gestational diabetes are at risk of developing hypoglycemia due to increased insulin secretion in response to maternal-fetal hyperglycemia.Hypoglycemia can cause neurological damage and other complications in newborns, so early detection and treatment are essential.

Choice B is wrong because two hours after birth may be too late to prevent or treat hypoglycemia in some infants.

Choice C is wrong because three hours after birth is even later and may increase the risk of adverse outcomes.

Choice D is wrong because four hours after birth is the latest time to check the blood glucose level and may miss some cases of hypoglycemia that occur earlier.

A. Preterm labor B. Ectopic pregnancy C. Gestational diabetes D. Gestational hypertension

Correct Answer is C

Explanation

The correct answer is choice C. Gestational diabetes.Impaired glucose tolerance in pregnancy means that the blood sugar levels are elevated, but not high enough to be diagnosed with diabetes.However, this condition increases the risk of developing gestational diabetes, which is a type of diabetes that occurs only during pregnancy and affects both the mother and the baby.

Choice A is wrong because preterm labor is not directly caused by impaired glucose tolerance, although gestational diabetes may increase the risk of preterm labor.

Choice B is wrong because ectopic pregnancy is not related to impaired glucose tolerance or gestational diabetes.Ectopic pregnancy occurs when a fertilized egg implants outside the uterus, usually in the fallopian tube.

Choice D is wrong because gestational hypertension is not caused by impaired glucose tolerance, although gestational diabetes may increase the risk of gestational hypertension.Gestational hypertension is high blood pressure that develops after 20 weeks of pregnancy and goes away after delivery.

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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 nurse is assessing a newborn whose mother has gestational diabetes for signs of hypoglycemia. The nurse should check the newborn’s blood glucose level within how many hours after birth?

Correct Answer is A

Explanation

A client with a history of impaired glucose tolerance asks the nurse about the potential impact on her current pregnancy. The nurse explains that impaired glucose tolerance increases the risk of developing:.

Correct Answer is C

Explanation

A nurse is assessing a pregnant woman for risk factors for gestational diabetes. Which of the following factors should the nurse identify as increasing the woman's risk?

A nurse is caring for a newborn whose mother has gestational diabetes. The nurse should monitor the newborn for which of the following complications?

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The long-term implications of gestational diabetes primarily include an increased risk of developing

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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?