The results of a pregnant patient's glucose tolerance test (GTT) ...

[audragclark]

The results of a pregnant patient's glucose tolerance test (GTT) were 158 mg/dL. What is the next test that the nurse will include in the patient's teaching plan?
 
  a. Urinalysis
  b. Amniocentesis
  c. Nonstress test
  d. Oral glucose tolerance test (OGTT)

Question 2

An infant of a diabetic mom arrives in the nursery unit for observation. The infant is term at 38 weeks' gestation and weighs 10 pounds. The maternal hemoglobin A1c level is noted at 10.
 
  Which findings would the nurse suspect as being present? (Select all that apply.)
 
  a. Fetus is jittery, temperature is decreased
  b. Nasal flaring and retractions
  c. Slight jaundice noted on blanching of nose
  d. Calcium level of 10 mg/dL

[Kedrick2014]

Answer to Question 1

ANS: D
If the blood glucose concentration for a GTT is 140 mg/dL or greater, a 3-hour oral glucose tolerance test is recommended. The woman must fast from midnight on the day of the test. After a fasting plasma glucose level is determined, the woman should ingest 100 g of oral glucose solution. Plasma glucose levels are then determined at 1, 2, and 3 hours. Gestational diabetes is the diagnosis if the fasting blood glucose level is abnormal.

Answer to Question 2

ANS: A, B, C
The most common complications with regard to fetal presentation in the context of maternal preexisting diabetes are hypoglycemia, hypokalemia, hyperbilirubinemia, and respiratory distress syndrome. Maternal hemoglobin A1c levels indicate that glycemic control has not been maintained, so the fetus is at risk to develop complications.

[audragclark]

Thank you

[Kedrick2014]

No problemo