Author Question: A woman with gestational diabetes has had little or no experience reading and interpreting glucose ... (Read 38 times)

jwb375 · **on:** Jun 27, 2018

A woman with gestational diabetes has had little or no experience reading and interpreting glucose levels. She shows the nurse her readings for the past few days.

Which one should the nurse tell her indicates a need for adjustment (insulin or sugar)? 1. 75 mg/dl before lunch; this is low, better eat now
2. 115 mg/dl 1 hour after lunch; this is a little high, maybe eat a little less next time
3. 115 mg/dl 2 hours after lunch; this is too high, time for insulin
4. 60 mg/dl just after waking up from a nap; this is too low, maybe eat a snack be-fore going to sleep

Question 2

Which of the following presumptive (felt by woman) or probable (observed by the examiner) signs of pregnancy is not matched with another possible cause?

1. Amenorrheastress, endocrine problems
2. Quickeninggas, peristalsis
3. Goodell's signcervical polyps
4. Chadwick's signpelvic congestion

ky860224 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

4
1. Incorrect. The premeal acceptable range is 65 to 95 mg/dl.
2. Incorrect. The readings 1 hour after a meal should be less than 130.
3. Incorrect. Two hours after eating, the readings should be under 120.
4. Correct. This is too low. During hours of sleep, glucose levels should not be less than 70. Snacks before sleeping can be helpful.

Answer to Question 2

3
1. Incorrect. Amenorrhea can sometimes be caused by stress, vigorous exercise, early me-nopause, or endocrine problems.
2. Incorrect. Quickening can be gas or peristalsis.
3. Correct. A Goodell sign might be the result of pelvic congestion, not polyps.
4. Incorrect. A Chadwick sign might be the result of pelvic congestion.