Health Promotion and Maintenance
43. A client, who is gravida 3, para 2 at 28 weeks' gestation, exhibits glucosuria during her routine prenatal visit. A nurse knows that glucosuria during pregnancy indicates:
Health Promotion and Maintenance
43. A client, who is gravida 3, para 2 at 28 weeks' gestation, exhibits glucosuria during her routine prenatal visit. A nurse knows that glucosuria during pregnancy indicates:
. An increased glomerular filtration of glucose.
. Gestational diabetes.
. A need for a 3-hour glucose tolerance test.
. A need for small doses of insulin.
Test-Taking Tip
Glucosuria is a screening test that may indicate the presence of gestational diabetes, but it is not diagnostic for gestational diabetes. Eliminate the answers that indicate glucosuria is a diagnosis for gestational diabetes.
Content Area: Maternity, Antepartum; Integrated Process: Nursing Process, Analysis; Cognitive Level: Application; Client Need/Subneed: Health Promotion and Maintenance/Ante/Intra/Postpartum and Newborn Care
Health Promotion and Maintenance
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Answer 1 is correct because glucosuria is most often secondary to the pregnancy-related increased glomerular filtration of glucose without an increased tubular reabsorption. Answer 2 is incorrect because the finding of glucose in the urine of a woman who is pregnant does not mean that she has gestational diabetes. Answer 3 is incorrect because, although glucosuria is an indication to perform glucose testing, the initial test would be a 1-hour screening test and not the 3-hour test, which is only done if the 1-hour glucose tolerance test is abnormal. Answer 4 is incorrect because small doses of insulin would be unnecessary in the absence of a diagnosis of diabetes.