A patient is being taught about tests for gestational diabetes. Teaching was effective when the patient states the following
“I will get my A1C checked every visit."
"A fasting glucose done in the first trimester of pregnancy will show if I have gestational diabetes.”
“All women are tested in the second trimester with a three hour glucose tolerance test to determine if they have gestational diabetes."
“I will have a one hour glucose test (glucose tolerance test) to screen for gestational diabetes during the second trimester.”
The Correct Answer is D
A. The A1C is not used for diagnosing gestational diabetes; it measures long-term blood glucose levels.
B. A fasting glucose test in the first trimester is not typically used for diagnosing gestational diabetes.
C. The three-hour glucose tolerance test is used for diagnosing gestational diabetes but not as a routine screening for all women.
D. The standard screening test for gestational diabetes is the one-hour glucose challenge test, typically performed between 24 and 28 weeks of gestation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Ensuring a calm environment by minimizing excessive stimuli is important for the safety and well-being of the patient.
B. Asking about drug use is essential to understand potential risks and provide appropriate care.
C. Administering sedatives to a combative patient without assessing the situation further could be dangerous. It could harm the patient and fetus, especially if drug use or psychological disorders are suspected.
D. Performing a vaginal exam is necessary to assess bleeding and determine if there are any signs of preterm labor or other complications.
Correct Answer is C
Explanation
A. Pitocin is used to induce or augment labor but is not indicated specifically for a GBS-positive patient.
B. Azithromycin is used for treating chlamydia, not for group B streptococcus (GBS).
C. Penicillin G is the recommended treatment for GBS-positive mothers during labor to prevent neonatal infection. It is administered intravenously.
D. Magnesium Sulfate is used for pre-eclampsia or preterm labor, not for GBS prevention.
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