A nurse is preparing to administer intravenous glucose to a newborn whose mother has gestational diabetes and who has hypoglycemia.

The nurse should recognize that this intervention is necessary to prevent which of the following complications?

Respiratory distress syndrome

Necrotizing enterocolitis

Intraventricular hemorrhage

Seizures

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is C

Explanation

The correct answer is choice C. Gestational diabetes.Impaired glucose tolerance in pregnancy means that the blood sugar levels are elevated, but not high enough to be diagnosed with diabetes.However, this condition increases the risk of developing gestational diabetes, which is a type of diabetes that occurs only during pregnancy and affects both the mother and the baby.

Choice A is wrong because preterm labor is not directly caused by impaired glucose tolerance, although gestational diabetes may increase the risk of preterm labor.

Choice B is wrong because ectopic pregnancy is not related to impaired glucose tolerance or gestational diabetes.Ectopic pregnancy occurs when a fertilized egg implants outside the uterus, usually in the fallopian tube.

Choice D is wrong because gestational hypertension is not caused by impaired glucose tolerance, although gestational diabetes may increase the risk of gestational hypertension.Gestational hypertension is high blood pressure that develops after 20 weeks of pregnancy and goes away after delivery.

A. Higher insulin resistance B. Lower birth weight C. Earlier onset of diabetes D. Faster resolution of diabetes

Correct Answer is A

Explanation

The correct answer is choice A. Higher insulin resistance.According to a systematic review of gestational diabetes mellitus (GDM) in Africa, African-Caribbean women have higher insulin resistance than other ethnic groups, which increases their risk of developing GDM.

Insulin resistance is a condition where the body does not respond well to the hormone insulin, which regulates blood sugar levels.

Choice B is wrong because lower birth weight is not associated with GDM in African-Caribbean women.In fact, some studies have found that GDM increases the risk of macrosomia (large for gestational age infants) and higher mean birth weight.

Choice C is wrong because earlier onset of diabetes is not a characteristic of African-Caribbean women with GDM.

GDM is usually diagnosed in the second or third trimester of pregnancy, regardless of ethnicity.However, women with GDM have a higher risk of developing type 2 diabetes later in life.

Choice D is wrong because faster resolution of diabetes is not a characteristic of African-Caribbean women with GDM.Most women with GDM revert to normal glucose metabolism after delivery, but some may have persistent glucose intolerance or diabetes.The risk of developing type 2 diabetes after GDM is also higher for African-Caribbean women than other ethnic groups.

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A nurse is preparing to administer intravenous glucose to a newborn whose mother has gestational diabetes and who has hypoglycemia. The nurse should recognize that this intervention is necessary to prevent which of the following complications?

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Naxlex Comprehensive Predictor Exams

A client with a history of impaired glucose tolerance asks the nurse about the potential impact on her current pregnancy. The nurse explains that impaired glucose tolerance increases the risk of developing:.

Correct Answer is C

Explanation

A nurse is caring for a pregnant woman who has gestational diabetes and is of African-Caribbean origin. The nurse should recognize that the woman's ethnicity is associated with which of the following characteristics?

Correct Answer is A

Explanation

A nurse is teaching a pregnant woman who has gestational diabetes about how to prevent type 2 diabetes in the future. Which of the following statements by the woman indicates an understanding of the teaching?

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 client with gestational diabetes is prescribed insulin therapy. The nurse is educating the client on proper insulin administration techniques. Which of the following instructions should the nurse provide?

A nurse is teaching a pregnant woman who has gestational diabetes about how to recognize and manage symptoms of hyperglycemia after delivery. Which of the following statements by the woman indicates an understanding of the teaching?

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?

A nurse is instructing a pregnant woman who has gestational diabetes on how to use a glucose meter to monitor her blood sugar levels at home. The nurse should tell the woman to do which of the following?

A nurse is planning care for a pregnant woman who has gestational diabetes and a history of prediabetes. Which of the following interventions should the nurse include in the plan?

A nurse is preparing to administer intravenous glucose to a newborn whose mother has gestational diabetes and who has hypoglycemia.

The nurse should recognize that this intervention is necessary to prevent which of the following complications?