Author Question: The nurse is reviewing the instructions given to a patient at 24 weeks' gestation for a glucose ... (Read 18 times)

futuristic · **on:** Jun 28, 2018

The nurse is reviewing the instructions given to a patient at 24 weeks' gestation for a glucose tolerance test (GCT). The nurse determines that the patient understands the teaching when she makes which statement?

a. I have to fast the night before the test.
b. I will drink a sugary solution containing 100 grams of glucose.
c. I will have blood drawn at 1 hour after I drink the glucose solution.
d. I should keep track of my baby's movements between now and the test.

Question 2

A pregnant patient with acquired immunodeficiency syndrome (AIDS) is reviewing infant care instructions with the prenatal nurse. Which patient statement indicates to the nurse that the teaching was effective?

a. I will bathe my baby twice a day.
b. I will use premixed formula to feed my baby.
c. I will use gloves to change my baby's diapers.
d. I will use alcohol wipes six times a day on the baby's cord until it falls off.

Leostella20 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
A GCT is administered between 24 and 28 weeks of gestation, often to low- and high-risk antepartum patients. Fasting is not necessary for a GCT, and the woman is not required to follow any pretest dietary instructions. The woman should ingest 50 g of oral glucose solution, and 1 hour later a blood sample is taken. Fetal surveillance with kick counts is an ongoing evaluation for pregnant women; they should contact their health care provider if there is a noticeable decrease in fetal movement.

Answer to Question 2

ANS: B
Breast milk or prechewed food from an infected person can cause infant infection, so the patient with AIDS should bottle feed her baby. The infant does not require additional bathing. The patient has AIDS and transmission from the infant's urine or stool is not an issue. Alcohol can be drying and irritating to the skin.