A nurse is preparing to administer insulin to a pregnant woman who has gestational diabetes.
Which of the following types of insulin should the nurse use?
Regular insulin
NPH insulin
Glargine insulin
Lispro insulin
The Correct Answer is D
The correct answer is choice D. Lispro insulin.
Lispro insulin is a rapid-acting insulin that can be injected 15 minutes before a meal to lower blood sugar. It is safe and effective for pregnant women with gestational diabetes.
Choice A is wrong because regular insulin is a short-acting insulin that needs to be injected 30 minutes before a meal. It may not provide enough control over blood sugar levels during pregnancy.
Choice B is wrong because NPH insulin is an intermediate-acting insulin that has a peak effect several hours after injection. It may cause low blood sugar (hypoglycemia) or high blood sugar (hyperglycemia) if not timed correctly with meals and snacks.
Choice C is wrong because glargine insulin is a long-acting insulin that provides a steady level of insulin throughout the day.
It cannot be mixed with other types of insulin
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Related Questions
Correct Answer is B
Explanation
The correct answer is choice B. One-hour blood glucose level of 185 mg/dL.
This indicates that the woman has impaired glucose tolerance, which is a risk factor for gestational diabetes.According to Mayo Clinic, a normal blood glucose level is lower than 140 mg/dL (7.8 mmol/L) after a glucose tolerance test.
A blood glucose level between 140 and 199 mg/dL (7.8 and 11 mmol/L) is considered impaired glucose tolerance,
Correct Answer is C
Explanation
The correct answer is choice C. The woman should report any vaginal discharge or itching to her doctor, as these could be signs of a yeast infection, which is more common in women with diabetes.Yeast infections can cause irritation and discomfort, and may increase the risk of preterm labor or urinary tract infections
Choice A is wrong because checking blood glucose levels four times a day is recommended during pregnancy, not after delivery.After delivery, the woman may need to check her blood glucose levels less often, depending on her doctor’s advice
Choice B is wrong because 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 D is wrong because stopping insulin or oral medication after delivery can lead to uncontrolled blood glucose levels and complications.
The woman should follow her doctor’s instructions on how to adjust her medication after delivery.Some women may need to continue taking insulin or oral medication for a while, while others may be able to stop or switch to a different type of medication
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