A nurse is reviewing the laboratory results of a pregnant woman who is being screened for gestational diabetes.
The nurse notes that the woman has a fasting blood glucose level of 100 mg/dL.
Which of the following actions should the nurse take?
Inform the woman that she does not have gestational diabetes
Repeat the test in one week
Perform a glucose tolerance test
Administer insulin as prescribed
The Correct Answer is C
The correct answer is choice C. Perform a glucose tolerance test.
A fasting blood glucose level of 100 mg/dL is considered borderline for gestational diabetes and indicates the need for further testing.
A glucose tolerance test measures how the body responds to a glucose load and can diagnose gestational diabetes.
Choice A is wrong because a fasting blood glucose level of 100 mg/dL is not normal for a pregnant woman and does not rule out gestational diabetes.
Choice B is wrong because repeating the test in one week will not provide any additional information and may delay the diagnosis and treatment of gestational diabetes.
Choice D is wrong because insulin is not prescribed unless the woman has confirmed gestational diabetes and fails to control her blood glucose levels with diet and exercise.
The normal range for fasting blood glucose in pregnancy is 70 to 95 mg/dL.
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Related Questions
Correct Answer is C
Explanation
The correct answer is
C. Type 2 diabetes.
Gestational diabetes (GDM) is a condition where the blood sugar levels are higher than normal during pregnancy.It usually goes away after giving birth, but it can increase the risk of developing type 2 diabetes later in life.
Type 2 diabetes is a chronic condition that affects how the body uses glucose (sugar) for energy.It can cause serious complications such as heart disease, kidney damage, nerve damage, eye problems and more.
A. Hypothyroidism is a condition where the thyroid gland does not produce enough thyroid hormones, which regulate the metabolism and other body functions.
It can cause symptoms such as fatigue, weight gain, depression, dry skin and hair loss.Hypothyroidism is not directly linked to gestational diabetes, but it can affect pregnancy outcomes and increase the risk of miscarriage, preterm birth and low birth weight.
B. Asthma is a condition where the airways become inflamed and narrow, making it hard to breathe.
It can cause symptoms such as wheezing, coughing, chest tightness and shortness of breath.Asthma is not directly linked to gestational diabetes, but it can affect pregnancy outcomes and increase the risk of preterm birth, low birth weight and preeclampsia.
D. Breast cancer is a type of cancer that starts in the breast tissue.
It can cause symptoms such as a lump in the breast, nipple discharge, skin changes and pain.Breast cancer is not directly linked to gestational diabetes, but it can be influenced by hormonal factors such as estrogen and progesterone levels, which may change during pregnancy and after menopause.
Correct Answer is D
Explanation
The correct answer is choice D. 2400 calories.
A pregnant woman with gestational diabetes and a BMI of 30 needs to consume enough calories to support her pregnancy and maintain a healthy weight.The calorie level recommended for gestational diabetes varies widely depending on the individual’s needs, activity level, and weight gain goals.However, a general guideline is to consume 30 kcal/kg of ideal body weight (pre-pregnant weight) in the first trimester, 36 kcal/kg in the second trimester, and 38 kcal/kg in the third trimester.
Assuming that the woman’s ideal body weight is 65 kg (based on a BMI of 25), her calorie intake would be:
• First trimester: 30 x 65 = 1950 calories
• Second trimester: 36 x 65 = 2340 calories
• Third trimester: 38 x 65 = 2470 calories
Therefore, the closest answer is 2400 calories per day during the third trimester of pregnancy.
A. 1800 calories.
Statement is wrong because this is too low for a pregnant woman with gestational diabetes and a BMI of 30.Eating too few calories can lead to ketosis, which is harmful for the baby.
It can also cause low blood sugar, hunger, fatigue, and poor nutrition.
B. 2000 calories.
Statement is wrong because this is also too low for a pregnant woman with gestational diabetes and a BMI of 30.
It may not provide enough energy and nutrients for the mother and the baby.
C. 2200 calories.
Statement is wrong because this is still below the recommended range for a pregnant woman with gestational diabetes and a BMI of 30.
It may not meet the increased needs of the third trimester of pregnancy.
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