The nurse knows that a diagnosis for gestational diabetes can be determined with which lab values?
A 1-hour post-prandial value of 110 mg/dL.
A 3-hour glucose tolerance test fasting value of 80 mg/dL.
A glucose challenge test-fasting value of 100 mg/dL and 2-hour value of 130 mg/dL.
A 3-hour glucose tolerance test-fasting value of 98 mg/dL and 3-hour value of 190 mg/dL. .
The Correct Answer is D
Choice A rationale
A 1-hour post-prandial value of 110 mg/dL is within the normal range and does not indicate gestational diabetes.
Choice B rationale
A 3-hour glucose tolerance test fasting value of 80 mg/dL is normal and does not alone indicate gestational diabetes.
Choice C rationale
A glucose challenge test-fasting value of 100 mg/dL and a 2-hour value of 130 mg/dL do not meet the criteria for gestational diabetes diagnosis.
Choice D rationale
A 3-hour glucose tolerance test-fasting value of 98 mg/dL and a 3-hour value of 190 mg/dL indicate gestational diabetes due to elevated glucose levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Administering oxytocin is not appropriate at this stage since the fetal head at a +5 station indicates imminent delivery.
Choice B rationale
Applying fundal pressure is not recommended and can cause complications such as uterine rupture or maternal injury.
Choice C rationale
Suctioning the mouth of the infant at the perineum should be done only after the head is delivered to clear airway obstructions.
Choice D rationale
Observing for the presence of a nuchal cord is crucial as it can cause complications during delivery, requiring immediate attention.
Correct Answer is ["B","D","F"]
Explanation
Choice A rationale
Documenting the findings in the client's medical record is important but is not the priority action when persistent late decelerations are noted. Immediate interventions are needed to improve fetal oxygenation.
Choice B rationale
Notifying the healthcare provider immediately is crucial as persistent late decelerations indicate fetal distress. The provider can decide on further interventions to ensure the safety of the mother and fetus.
Choice C rationale
Administering a tocolytic medication to stop contractions is not appropriate in this scenario. The priority is to improve fetal oxygenation, not to stop contractions.
Choice D rationale
Repositioning the client to a side-lying position can help improve blood flow to the uterus and placenta, enhancing fetal oxygenation. This is a priority intervention.
Choice E rationale
Administering pain medication to the client is not a priority in this situation. The focus should be on addressing fetal distress and improving oxygenation.
Choice F rationale
Administering oxygen to the client increases the oxygen available to the fetus and is a priority intervention when persistent late decelerations are noted.
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