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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D. Seizures.This intervention is necessary to prevent seizures because hypoglycemia can cause brain injury and neurologic impairment in newborns.Seizures are one of the most common signs of hypoglycemia in newborns.
Choice A is wrong because respiratory distress syndrome is caused by a lack of surfactant in the lungs, not by hypoglycemia.
Choice B is wrong because necrotizing enterocolitis is an inflammatory condition of the intestines that affects premature or sick infants, not by hypoglycemia.
Choice C is wrong because intraventricular hemorrhage is a bleeding into the brain ventricles that occurs mainly in very low birth weight infants, not by hypoglycemia.
Correct Answer is B
Explanation
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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