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

Answer and Explanation

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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Correct Answer is C

Explanation

The correct answer is choice C. Perform a glucose tolerance test.

A fasting blood glucose level of 100 mg/dL is considered borderline for gestational diabetes and indicates the need for further testing.

A glucose tolerance test measures how the body responds to a glucose load and can diagnose gestational diabetes.

Choice A is wrong because a fasting blood glucose level of 100 mg/dL is not normal for a pregnant woman and does not rule out gestational diabetes.

Choice B is wrong because repeating the test in one week will not provide any additional information and may delay the diagnosis and treatment of gestational diabetes.

Choice D is wrong because insulin is not prescribed unless the woman has confirmed gestational diabetes and fails to control her blood glucose levels with diet and exercise.

The normal range for fasting blood glucose in pregnancy is 70 to 95 mg/dL.

A. Regular appointments allow for insulin therapy initiation if needed B. Prenatal appointments help in diagnosing gestational diabetes C. Attending appointments ensures access to emotional support D. Regular appointments allow for adjustment of insulin dosage

Correct Answer is A

Explanation

The correct answer is choice A. Regular appointments allow for insulin therapy initiation if needed.This is because gestational diabetes is a condition in which women develop high blood sugar during pregnancy, which can cause complications for both the mother and the baby.Insulin is a hormone that helps lower blood sugar levels, and some women with gestational diabetes may need to take insulin injections to control their blood sugar.

Choice B is wrong because prenatal appointments do not help in diagnosing gestational diabetes.Gestational diabetes is usually diagnosed by a blood test that measures the glucose levels before and after meals.This test is typically done between 24 and 28 weeks of pregnancy.

Choice C is wrong because attending appointments does not ensure access to emotional support.Emotional support is important for pregnant women, especially those with gestational diabetes, but it can be provided by other sources such as family, friends, counselors or support groups.

Choice D is wrong because regular appointments do not allow for adjustment of insulin dosage.Insulin dosage is determined by the blood sugar levels of the woman, which she can monitor at home using a glucose meter.The doctor or midwife may adjust the insulin dosage based on the results of the blood tests and the feedback from the woman.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results of a pregnant woman who is being screened for gestational diabetes. The nurse notes that the woman has a fasting blood glucose level of 100 mg/dL. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is teaching a client with gestational diabetes about the importance of attending regular prenatal appointments. Which of the following statements accurately reflects the rationale behind this recommendation?

Correct Answer is A

Explanation

A nurse is providing education to a pregnant woman who has gestational diabetes and wants to know how to prevent symptoms of hyperglycemia. Which of the following instructions should the nurse include?

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A nurse is reviewing the risk factors for developing gestational diabetes with a group of pregnant women during a prenatal class. The nurse should include which of the following factors in the teaching?

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A nurse is administering insulin to a pregnant woman who has gestational diabetes and is in labor. The nurse should monitor the woman's blood glucose levels every how often during labor?

A nurse is assessing a pregnant woman who has gestational diabetes for complications of hyperglycemia during labor and delivery. The nurse should monitor the woman for which of the following signs and symptoms?

A nurse is reviewing the antenatal care plan for a pregnant woman who has gestational diabetes and is taking oral antidiabetic drugs. The nurse should expect the woman to have which of the following tests to monitor the effects of the medication on the baby?

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?