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

Answer and Explanation

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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Correct Answer is C

Explanation

The correct answer is choice C.Being older than 25 years at the time of pregnancy is a risk factor for developing gestational diabetes.Gestational diabetes is a type of diabetes that can develop during pregnancy in women who don’t already have diabetes.It occurs when the body can’t make enough insulin during pregnancy.

Choice A is wrong because being underweight before pregnancy is not a risk factor for gestational diabetes.In fact, obesity is one of the biggest risk factors for this condition.

Choice B is wrong because having a history of infertility or miscarriage is not a risk factor for gestational diabetes.However, having a family history of diabetes is a risk factor.

Choice D is wrong because having a family history of autoimmune disease is not a risk factor for gestational diabetes.

Autoimmune diseases are conditions where the immune system attacks the body’s own tissues, such as type 1 diabetes or rheumatoid arthritis.Gestational diabetes is not an autoimmune disease, but rather a disorder of insulin resistance.

Normal ranges for blood glucose levels during pregnancy are:

• Fasting: less

A. Every hour B. Every two hours C. Every four hours D. Every six hours

Correct Answer is A

Explanation

The correct answer is choice A. The nurse should monitor the woman’s blood glucose levels every hour during labor.This is because the goal of intrapartum insulin therapy is maternal and fetal euglycemia with a maternal glucose less than 90 mg/dL.Hourly blood glucose monitoring can help adjust the insulin infusion rate and prevent hypoglycemia or hyperglycemia.

Choice B is wrong because every two hours is not frequent enough to maintain optimal glucose control during labor.

Choice C is wrong because every four hours is too long to wait between blood glucose checks and could lead to complications.

Choice D is wrong because every six hours is even longer and more risky than choice C. Normal ranges for blood glucose levels during labor are between 4.0 and 6.0-7.0 mmol/L (72-108 mg/dL).Women with gestational diabetes who require less than 1.0 units/kg/d of insulin may not need intravenous insulin, but they still need to be monitored regularly.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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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?