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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D. Thrush.
Thrush is a fungal infection that can affect the mouth, skin, or genitals.
It is more common in people with diabetes, especially if their blood sugar levels are not well controlled.High blood sugar levels can weaken the immune system and make it harder to fight off infections.
Choice A is wrong because pneumonia is a bacterial or viral infection of the lungs.It is not directly related to gestational diabetes, although having diabetes may increase the risk of respiratory infections in general.
Choice B is wrong because meningitis is an inflammation of the membranes that cover the brain and spinal cord.
It can be caused by bacteria, viruses, fungi, or other organisms.Gestational diabetes does not increase the risk of meningitis.
Choice C is wrong because cholecystitis is an inflammation of the gallbladder.
It can be caused by gallstones, infections, or other factors.Gestational diabetes does not increase the risk of cholecystitis.
Normal ranges for blood sugar levels during pregnancy are:
• Before meals: 3.5 to 5.9 mmol/L
• One hour after meals: 7.8 mmol/L or lower
• Two hours after meals: 6.4 mmol/L or lower
Correct Answer is A
Explanation
The correct answer is choice A. “I should check my blood glucose levels four times a day.” This statement indicates that the woman understands the importance of monitoring her blood glucose levels after delivery to detect any changes or abnormalities.Most women with gestational diabetes will not have severe hyperglycemia after delivery, but they should be followed for at least 6–12 weeks to determine their glucose status.
Normal blood glucose levels are between 70 and 130 mg/dL before meals and less than 180 mg/dL two hours after meals.
Choice B is wrong because “I should drink juice or soda if I feel thirsty.” This statement indicates that the woman does not understand how to manage symptoms of hyperglycemia after delivery.
Drinking juice or soda can raise blood glucose levels and worsen hyperglycemia.
The woman should drink water or sugar-free beverages if she feels thirsty.
Choice C is wrong because “I should report any vaginal discharge or itching to my doctor.” This statement indicates that the woman does not understand how to recognize symptoms of hyperglycemia after delivery.
Vaginal discharge or itching can be signs of a yeast infection, which can occur more frequently in women with diabetes, but they are not specific to hyperglycemia.
Symptoms of hyperglycemia include increased thirst, frequent urination, blurred vision, fatigue, and headache.
Choice D is wrong because “I should stop taking my insulin or oral medication after delivery.” This statement indicates that the woman does not understand how to manage her blood glucose levels after delivery.Although most women with gestational diabetes will have normal blood glucose levels after delivery, some may have persisting hyperglycemia that requires medical management.The woman should consult with her doctor before stopping any medication and follow the guidelines of the American Diabetes Association and other relevant organizations.
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