A pregnant client completes the 1-hour glucose tolerance test (GTT) at 26 weeks' gestation. The nurse explains that if the blood glucose result is above ____ to ____mg/dL. It is considered a positive screening and the client will need a 3-hour oral glucose tolerance test.
The Correct Answer is ["130 to 140"]
The 1-hour GTT is a screening test for gestational diabetes mellitus (GDM) performed between 24–28 weeks of gestation. The client drinks a 50-gram glucose solution, and blood glucose is measured 1 hour later.
- A result ≤130–140 mg/dL is considered normal, indicating the client is unlikely to have GDM.
- A result above 130–140 mg/dL is considered positive, prompting a 3-hour, 100-gram OGTT to confirm the diagnosis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Croup is usually viral in origin (most commonly parainfluenza virus), so antibiotics are not indicated unless there is evidence of a secondary bacterial infection. Routine antibiotic administration does not improve viral croup and can contribute to antibiotic resistance.
B. Placing the child in a supine position may worsen airway obstruction and increase respiratory effort. Children with croup often assume an upright or sitting position to maximize airway patency and ease breathing.
C. Encouraging the child to lie down to conserve energy is not appropriate. Lying down can exacerbate airway obstruction in croup, increase stridor, and worsen respiratory distress.
D. Providing a cool mist humidifier or taking the child outside into cool night air helps reduce airway inflammation and swelling in the upper airway. Cool air can soothe the larynx, decrease stridor, and ease the barking cough. These noninvasive measures are first-line interventions to manage mild to moderate croup and prevent progression to severe respiratory distress. Supporting the child in an upright, calm position while monitoring oxygenation and respiratory effort is also essential.
Correct Answer is C
Explanation
A. Differentiation refers to cells or structures becoming specialized, whereas development encompasses functional changes and skill acquisition. While differentiation occurs, the scenario emphasizes both physical growth and skill acquisition, making this pairing incomplete.
B. Growth refers to quantitative increases, such as weight and height, and maturation refers to qualitative functional changes over time. While maturation is implied, the scenario specifically highlights skill improvement and the ability to perform complex tasks, which aligns more directly with differentiation.
C. Growth is represented by the child’s appropriate weight gain, a quantitative change. Differentiation is reflected in the improved coordination, problem-solving skills, and ability to perform complex tasks like tying shoelaces. These changes indicate that the child’s structures and functions are becoming more specialized, matching the definition of differentiation.
D. Development focuses on functional abilities and skill acquisition, and maturation refers to functional competency over time. While relevant, this combination does not explicitly include the quantitative growth aspect (weight gain), which is a key part of the scenario.
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