In teaching a woman with pregestational diabetes about desired ...

[bobbie]

In teaching a woman with pregestational diabetes about desired glucose levels, the nurse explains that a normal fasting glucose level, such as before breakfast, is in the range of:
 
  1. 60 to 90 mg/dl.
  2. 90 to 120 mg/dl.
  3. 120 to 150 mg/dl.
  4. 150 to 180 mg/dl.

Question 2

On physical examination, a nurse notes that the lower uterine segment is soft upon palpation. The nurse would document this finding as:
 
  1. Hegar sign.
  2. McDonald sign.
  3. Chadwick sign.
  4. Goodell sign.

[succesfull]

Answer to Question 1

1
1. Correct. Target glucose levels during a fasting period are 60 to 90 mg/dl.
2. Incorrect. These glucose levels are consistent with expected levels at bedtime.
3. Incorrect. These levels are considered elevated for a fasting glucose level.
4. Incorrect. These levels are considered elevated for a fasting glucose level and indicate poor glycemic control.

Answer to Question 2

1
1. Correct. At approximately 6 weeks of gestation, softening and compressibility of the lower uterine segment occur, called Hegar sign.
2. Incorrect. McDonald sign indicates a fast food restaurant.
3. Incorrect. Chadwick sign is the blue-violet coloring of the cervix caused by increased vascularity; this occurs around the fourth week of gestation.
4. Incorrect. A softening of the cervical tip is called Goodell sign and may be observed around the sixth week of pregnancy.