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
A. Administer Rh immunoglobulin (Rho(D) immune globulin): This is important if the mother is Rh-negative, but there is no indication of Rh incompatibility in this scenario.
B. Perform continuous fetal heart rate monitoring: This is essential for ongoing assessment of fetal well-being but may not be the very first immediate action.
C. Prepare for emergent delivery: This would only be necessary if there were signs of fetal or maternal distress, which are not currently indicated.
D. Administer a corticosteroid to enhance fetal lung maturity: Administering corticosteroids like betamethasone or dexamethasone is crucial between 24 and 34 weeks of gestation to enhance lung maturity and reduce the risk of neonatal respiratory distress syndrome.
Correct Answer is C
Explanation
Choice A rationale
Hydration is important for maintaining maternal fluid balance and energy during labor, but it does not specifically address the severe backache experienced by the client.
Choice B rationale
Amniotomy can stimulate labor progression but is not specifically indicated for relieving back pain associated with labor.
Choice C rationale
Counterpressure to the sacrum can help alleviate back pain during labor, especially if the baby is in an occiput posterior position, which causes severe backache. Applying pressure to the sacrum can provide relief and comfort to the laboring client.
Choice D rationale
Urinary catheterization may be necessary if the client is unable to void, but it does not address the primary issue of severe back pain during labor.
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