A client has completed the 3-hour oral glucose tolerance test (GTT) after failing the initial screening. The nurse notes the client has failed the 2-hour and 3-hour tests. The nurse anticipates that the client will:
Continue routine prenatal care.
Be referred to an endocrinologist.
Be diagnosed with Type II diabetes.
Be referred to a dietician.
The Correct Answer is B
In some cases, an endocrinologist may also be involved in the management of gestational diabetes. The nurse can anticipate that the client will be diagnosed with gestational diabetes and will be referred to a dietician for dietary modifications and glucose monitoring during the remainder of her pregnancy. Regular prenatal care will also continue, and the healthcare provider may adjust the treatment plan based on the client's individual needs.
However, a diagnosis of Type II diabetes would not be made solely based on a failed GTT during pregnancy, as gestational diabetes is a temporary condition that usually resolves after delivery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The readiness for induction of labor is assessed by determining the Bishop score. The Bishop score is a system used to evaluate the cervix for induction of labor readiness. It is based on the assessment of five factors: cervical dilation, cervical effacement, cervical consistency, cervical position, and fetal station. Each factor is scored on a scale of 0 to 3, with a maximum possible score of 15.
The higher the Bishop score, the more favorable the cervix is for induction of labor, and the higher the likelihood of a successful vaginal delivery. A Bishop score of 8 or higher is considered favorable for induction of labor. A low Bishop score may indicate that the cervix is not yet ripe and may need further cervical ripening before induction can be attempted.
The Apgar score is a test used to evaluate a newborn's physical condition at birth, based on five factors: appearance, pulse, grimace, activity, and respiration.
The biophysical profile is a prenatal ultrasound evaluation that assesses fetal well-being by evaluating fetal breathing, fetal movement, fetal tone, amniotic fluid volume, and fetal heart rate. Fetal position is an important consideration during labor, as it can impact the progression and outcome of labor, but it is not used to assess readiness for induction of labor.
Correct Answer is C
Explanation
Infants of diabetic mothers (IDM) are at risk of hypoglycemia because they have been exposed to high levels of glucose in utero. The fetus responds to this high glucose level by producing high levels of insulin to regulate the glucose level. After delivery, the glucose supply from the mother is cut off and the infant's insulin levels remain high, leading to hypoglycemia.
Additionally, the infant's ability to produce glucose is immature and may not be sufficient to maintain normal blood glucose levels, especially if the infant is premature or small for gestational age. Therefore, IDM requires close monitoring of their blood glucose levels to prevent and treat hypoglycemia.
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