Author Question: In teaching the woman with pregestational diabetes about desired glucose levels, the nurse explains ... (Read 93 times)

chads108 · **on:** Jun 27, 2018

In teaching the 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:

a. 65 to 95 mg/dl.
b. 130 to 140 mg/dl.
c. 200 mg/dl.
d. 55 mg/dl.

Question 2

Preconception counseling is critical to the outcome of diabetic pregnancies because poor glycemic control before and during early pregnancy is associated with:

a. Frequent episodes of maternal hypoglycemia.
b. Congenital anomalies in the fetus.
c. Polyhydramnios.
d. Hyperemesis gravidarum.

verrinzo · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A

Feedback
A Target glucose levels during a fasting period are 65 to 95 mg/dl.
B This glucose level is consistent with 1 hour postprandial levels.
C A glucose level of 200 mg/dl is an indication of hyperglycemia. The physician should be contacted immediately for further orders.
D This level indicates hypoglycemia. An adjustment will need to be made to both diet and insulin.

Answer to Question 2

B

Feedback
A Frequent episodes of maternal hypoglycemia may occur during the first trimester (not before conception) as a result of hormone changes and the effects on insulin production and usage.
B Preconception counseling is particularly important because strict metabolic con-trol before conception and in the early weeks of gestation is instrumental in de-creasing the risks of congenital anomalies.
C Hydramnios occurs about 10 times more often in diabetic pregnancies than in nondiabetic pregnancies. Typically it is seen in the third trimester of pregnancy.
D Hyperemesis gravidarum may exacerbate hypoglycemic events because the de-creased food intake by the mother and glucose transfer to the fetus contribute to hypoglycemia.