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 {"dropdown-group-1":"B","dropdown-group-2":"B"}
Explanation
Complete the Sentence The priority intervention for the client with preterm premature rupture of membranes is to administer corticosteroids and administer prophylactic antibiotics.
Rationale for correct responses:
- Administer corticosteroids: This is necessary to promote fetal lung maturity, which is crucial given the gestational age of 34 weeks.
- Administer prophylactic antibiotics: This helps prevent maternal and fetal infection due to the rupture of membranes.
Rationale for incorrect responses:
- Initiate tocolytic therapy: This is not the priority as the client is not currently experiencing contractions.
- Prepare for immediate delivery: Immediate delivery is not indicated unless there are signs of fetal distress or maternal complications.
- Perform digital cervical examination: This increases the risk of infection and is contraindicated in cases of ruptured membranes.
- Administer Rh immunoglobulin: This is important but not the primary immediate intervention compared to corticosteroids and antibiotics.
- Discharge the client for outpatient follow-up: This is inappropriate due to the need for close monitoring and prevention of infection.
- Perform a biophysical profile: While useful, this is not a priority intervention compared to administering corticosteroids and antibiotics.
Correct Answer is C
Explanation
Choice A rationale
Left occiput anterior (LOA) describes the occiput facing toward the front left of the maternal pelvis, not the back. LOA typically does not cause back labor.
Choice B rationale
Right occiput posterior (ROP) describes the occiput facing toward the back right of the maternal pelvis, not the left. ROP can cause back labor but is not aligned with the described position.
Choice C rationale
Left occiput posterior (LOP) means the occiput is facing the back left of the maternal pelvis, aligning with the description and commonly causing back labor pain.
Choice D rationale
Right occiput anterior (ROA) describes the occiput facing the front right of the maternal pelvis, not the left. ROA is not associated with increased back labor pain. .
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