A nurse is preparing to administer oral glucose to a pregnant woman who has gestational diabetes and is experiencing symptoms of hyperglycemia.
The nurse should use which of the following routes to administer the glucose?
Sublingual
Buccal
Oropharyngeal
Nasogastric
The Correct Answer is A
The correct answer is choice A. Sublingual.
The nurse should use the sublingual route to administer the glucose, which means placing the glucose under the tongue of the woman. This route allows for faster absorption of glucose into the bloodstream than the oral route, which involves swallowing the glucose. This is especially important for a pregnant woman with gestational diabetes and hyperglycemia, who needs to lower her blood sugar levels quickly to avoid complications for herself and her baby.
Choice B. Buccal is wrong because it means placing the glucose inside the cheek against the buccal mucosa. This route has been shown to result in a lower plasma glucose concentration than the oral route, which is not desirable for a woman with hyperglycemia.
Choice C. Oropharyngeal is wrong because it means placing the glucose in the back of the mouth near the throat. This route is not recommended for glucose administration because it can cause choking or aspiration.
Choice D. Nasogastric is wrong because it means inserting a tube through the nose into the stomach and delivering the glucose through the tube. This route is invasive and unnecessary for glucose administration, unless the woman is unable to take glucose by mouth.
Normal ranges for blood glucose levels during pregnancy are 3.5 to 5.9 mmol/l before meals and less than 7.8 mmol/l one hour after meals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B. Biophysical profile.
A biophysical profile is a test that combines a nonstress test with an ultrasound to assess the well-being of the fetus.
It measures five parameters: fetal heart rate, fetal breathing movements, fetal body movements, fetal tone, and amniotic fluid volume.A biophysical profile is indicated for pregnant women with gestational diabetes who are taking oral antidiabetic drugs because these medications can cross the placenta and affect the fetal blood glucose levels.
Choice A is wrong because a nonstress test is a test that measures the fetal heart rate response to fetal movements.It is a screening test for fetal well-being, but it does not provide information about the fetal blood glucose levels or the amniotic fluid volume.
Choice C is wrong because an amniocentesis is a test that involves inserting a needle into the uterus to obtain a sample of amniotic fluid for genetic or biochemical analysis.It is not routinely performed for pregnant women with gestational diabetes unless there is a suspicion of a chromosomal abnormality or a fetal infection.
Choice D is wrong because chorionic villus sampling is a test that involves obtaining a sample of placental tissue for genetic or biochemical analysis.
It is usually performed between 10 and 13 weeks of gestation for women who are at high risk of having a baby with a chromosomal abnormality or a genetic disorder.It is not indicated for pregnant women with gestational diabetes who are taking oral antidiabetic drugs.
Correct Answer is D
Explanation
The correct answer is choice D. Macrosomia.Macrosomia is a condition where the baby grows larger than normal due to excess sugar from the mother’s blood.This can lead to complications such as injuries during delivery, low blood sugar and mineral levels, jaundice, pre-term birth, and breathing problems for the baby.It can also increase the risk of obesity and diabetes later in life for the baby.
Choice A is wrong because intrauterine growth restriction (IUGR) is a condition where the baby grows smaller than normal due to poor nutrition or oxygen supply from the placenta.
Gestational diabetes does not cause IUGR, but other factors such as high blood pressure, smoking, infections, or chromosomal abnormalities can.
Choice B is wrong because respiratory distress syndrome (RDS) is a condition where the baby has difficulty breathing due to immature lungs that lack surfactant, a substance that helps keep the air sacs open.
Gestational diabetes does not directly cause RDS, but it can increase the risk of pre-term birth, which is a major risk factor for RDS.
Choice C is wrong because congenital anomalies are structural or functional defects that are present at birth due to genetic or environmental factors.
Gestational diabetes does not cause congenital anomalies, but it can increase the risk of them if it is present before or during early pregnancy, when the baby’s organs are forming.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.