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 A
Explanation
The correct answer is choice A.Being 35 years old is a risk factor for gestational diabetes because the risk increases with age.
Choice B is wrong because having a BMI of 28 is not considered obese, which is a risk factor for gestational diabetes.Obesity is usually defined as having a BMI of 30 or higher.
Choice C is wrong because having a previous baby who weighed 3.5 kg (7.7 lb) at birth is not a risk factor for gestational diabetes.A risk factor is having a previous baby who weighed more than 4 kg (9 lb) at birth.
Choice D is wrong because having a history of PCOS (polycystic ovary syndrome) is not a risk factor for gestational diabetes.PCOS is a condition that affects the ovaries and hormones, but it does not directly cause gestational diabetes.
Correct Answer is A
Explanation
The correct answer is choice A. One hour.The nurse should check the newborn’s blood glucose level within one hour after birth because infants born to mothers with gestational diabetes are at risk of hypoglycemia due to hyperinsulinemia.Hypoglycemia can cause neurologic damage or death if left untreated.
Choice B is wrong because two hours is too long to wait for checking the blood glucose level of a newborn at risk of hypoglycemia.
Choice C is wrong because three hours is too long to wait for checking the blood glucose level of a newborn at risk of hypoglycemia.
Choice D is wrong because four hours is too long to wait for checking the blood glucose level of a newborn at risk of hypoglycemia.
Normal blood glucose levels for newborns are between 47 and 70 mg/dL.Mild hypoglycemia is defined as less than 47 mg/dL and severe hypoglycemia is defined as less than 36 mg/dL.
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