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Nursing Interventions ( 6 Questions)
A nurse is teaching a pregnant woman about gestational diabetes screening.
Which statement indicates understanding?
This statement indicates understanding because it reflects the current recommendation for gestational diabetes screening for all pregnant women.The oral glucose tolerance test (OGTT) measures how the body handles glucose after a glucose load and can detect impaired glucose tolerance or diabetes.
The woman does not need to eat a high-carbohydrate meal before the screening test.In fact, she should fast for at least 8 hours before the test.
The screening process is necessary even if the woman has no family history of diabetes.Gestational diabetes can occur in any pregnant woman, especially if she has risk factors such as obesity, advanced maternal age, previous history of gestational diabetes, or a history of polycystic ovary syndrome.
The screening test should not be done at any time during the pregnancy.The optimal time for screening is between 24 and 28 weeks of gestation, when insulin resistance peaks due to placental hormones.If the test is done too early or too late, it may miss some cases of gestational diabetes or give false-positive results.
The correct answer is choice A. “I should have the oral glucose tolerance test between 24 and 28 weeks of gestation.” This statement indicates understanding because it reflects the current recommendation for gestational diabetes screening for all pregnant women. The oral glucose tolerance test (OGTT) measures how the body handles glucose after a glucose load and can detect impaired glucose tolerance or diabetes.
Choice B is wrong because the woman does not need to eat a high-carbohydrate meal before the screening test. In fact, she should fast for at least 8 hours before the test.
Choice C is wrong because the screening process is necessary even if the woman has no family history of diabetes. Gestational diabetes can occur in any pregnant woman, especially if she has risk factors such as obesity, advanced maternal age, previous history of gestational diabetes, or a history of polycystic ovary syndrome.
Choice D is wrong because the screening test should not be done at any time during the pregnancy. The optimal time for screening is between 24 and 28 weeks of gestation, when insulin resistance peaks due to placental hormones. If the test is done too early or too late, it may miss some cases of gestational diabetes or give false-positive results.