A patient is being taught about tests for gestational diabetes. Teaching was effective when the patient states the following
“I will get my A1C checked every visit."
"A fasting glucose done in the first trimester of pregnancy will show if I have gestational diabetes.”
“All women are tested in the second trimester with a three hour glucose tolerance test to determine if they have gestational diabetes."
“I will have a one hour glucose test (glucose tolerance test) to screen for gestational diabetes during the second trimester.”
The Correct Answer is D
A. The A1C is not used for diagnosing gestational diabetes; it measures long-term blood glucose levels.
B. A fasting glucose test in the first trimester is not typically used for diagnosing gestational diabetes.
C. The three-hour glucose tolerance test is used for diagnosing gestational diabetes but not as a routine screening for all women.
D. The standard screening test for gestational diabetes is the one-hour glucose challenge test, typically performed between 24 and 28 weeks of gestation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The high blood volume and Wharton's jelly content in the umbilical cord help protect it from compression.
B. The umbilical cord normally contains two arteries and one vein. A statement suggesting two veins is incorrect and indicates a need for additional teaching.
C. The fetal heart starts to beat around 4 weeks of gestation.
D. A Doppler can detect fetal heartbeats as early as 8-12 weeks.
Correct Answer is A
Explanation
A. Hyperemesis gravidarum can lead to severe dehydration and electrolyte imbalance, requiring IV fluids or parenteral nutrition.
B. A high-protein diet rich in kilocalories: Oral intake is often not tolerated in severe cases of hyperemesis gravidarum.
C. A 24-hour urine collection to check for protein is more relevant for conditions like preeclampsia, not for hyperemesis gravidarum.
D. Fasting blood sugar and one-hour postprandial are used for managing gestational diabetes, not hyperemesis gravidarum.
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