A nurse is preparing a pregnant woman for a glucose tolerance test to screen for gestational diabetes.
The nurse should instruct the woman to do which of the following before the test?
Eat a high-carbohydrate meal the night before
Drink water only for 8 hours before the test
Avoid caffeine and smoking for 12 hours before the test
Take her usual medications with a sip of water
The Correct Answer is B
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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D. 2400 calories.
A pregnant woman with gestational diabetes and a BMI of 30 needs to consume enough calories to support her pregnancy and maintain a healthy weight.The calorie level recommended for gestational diabetes varies widely depending on the individual’s needs, activity level, and weight gain goals.However, a general guideline is to consume 30 kcal/kg of ideal body weight (pre-pregnant weight) in the first trimester, 36 kcal/kg in the second trimester, and 38 kcal/kg in the third trimester.
Assuming that the woman’s ideal body weight is 65 kg (based on a BMI of 25), her calorie intake would be:
• First trimester: 30 x 65 = 1950 calories
• Second trimester: 36 x 65 = 2340 calories
• Third trimester: 38 x 65 = 2470 calories
Therefore, the closest answer is 2400 calories per day during the third trimester of pregnancy.
A. 1800 calories.
Statement is wrong because this is too low for a pregnant woman with gestational diabetes and a BMI of 30.Eating too few calories can lead to ketosis, which is harmful for the baby.
It can also cause low blood sugar, hunger, fatigue, and poor nutrition.
B. 2000 calories.
Statement is wrong because this is also too low for a pregnant woman with gestational diabetes and a BMI of 30.
It may not provide enough energy and nutrients for the mother and the baby.
C. 2200 calories.
Statement is wrong because this is still below the recommended range for a pregnant woman with gestational diabetes and a BMI of 30.
It may not meet the increased needs of the third trimester of pregnancy.
Correct Answer is A
Explanation
The correct answer is choice D. Previous history of gestational diabetes.This is because having gestational diabetes in a previous pregnancy increases the risk of developing it again in a subsequent pregnancy.According to the CDC, about 50% of women with gestational diabetes go on to develop type 2 diabetes later in life.
Choice A is wrong because advanced maternal age is not a primary risk factor for gestational diabetes, although it may increase the risk slightly.
Choice B is wrong because family history of diabetes is not a primary risk factor for gestational diabetes, although it may indicate a genetic predisposition to insulin resistance.
Choice C is wrong because smoking during pregnancy is not a primary risk factor for gestational diabetes, although it may have other adverse effects on the mother and the baby.
Some of the other risk factors for gestational diabetes include obesity, hormonal changes, polycystic ovary syndrome, and pregnancy over 30 years of age.Gestational diabetes can cause complications such as high blood pressure, preeclampsia, large birth weight, premature delivery, respiratory distress syndrome, and low blood sugar in the baby.Gestational diabetes can be managed with a healthy diet, exercise, and medication if needed.
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