Health Promotion and Maintenance
44. A client, who is gravida 4, para 1 at 28 weeks' gestation, completes a 1-hour glucose tolerance test. Her 1-hour blood sugar is 150 mg/dL. Which type of follow-up should a nurse recommend to this client?
Health Promotion and Maintenance
44. A client, who is gravida 4, para 1 at 28 weeks' gestation, completes a 1-hour glucose tolerance test. Her 1-hour blood sugar is 150 mg/dL. Which type of follow-up should a nurse recommend to this client?
. No follow-up.
. A 2000-calorie diet.
. A 3-hour glucose tolerance test.
. A 2-hour postprandial blood sugar.
Test-Taking Tip
The 1-hour glucose tolerance test is a screening test for gestational diabetes; the 3-hour glucose tolerance test is the diagnostic test for gestational diabetes. Eliminate the answers that are interventions for a diagnosis of gestational diabetes.
Content Area: Maternity, Antepartum; Integrated Process: Nursing Process, Planning; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Potential for Alterations in Body Systems
Health Promotion and Maintenance
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Answer 1 is incorrect because, since the screening 1-hour glucose tolerance test was abnormal, the 3-hour glucose tolerance test follow-up is needed. Answer 2 is incorrect because, even though the 1-hour test result was abnormal, a diagnosis of gestational diabetes cannot be made on that value alone; therefore, there is no immediate need for dietary control. Answer 3 is correct because the abnormal 1-hour test results should be followed up by a 3-hour glucose tolerance test. Answer 4 is incorrect because, even though the 1-hour test result was abnormal, a diagnosis of gestational diabetes cannot be made on that value alone; therefore, there is no immediate need for postprandial blood sugar monitoring.