還有更多這樣的題目挑戰 ›

審查產後葡萄糖篩檢時間軸，並判斷最安全的長期追蹤處置。

Trend

選擇作答後，查看答案。

Time	Data
Pregnancy	Gestational diabetes required insulin; the client received teaching that postpartum testing would still be needed after medication stopped.妊娠糖尿病需要胰島素；個案接受衛教，了解產後仍需在藥物停止後進行產後檢測。
8 weeks postpartum	75-g oral glucose tolerance test: fasting glucose 108 mg/dL and 2-hour glucose 164 mg/dL; result documented as prediabetes.75-g口服葡萄糖耐量試驗：空腹葡萄糖108 mg/dL，2小時葡萄糖164 mg/dL；結果記錄為糖尿病前期。
18 months postpartum	No interval follow-up was scheduled; weight has increased 8 kg and A1C is 6.2%; the client reports no symptoms.未安排間隔追蹤；體重增加8 kg，A1C為6.2%；個案報告無症狀。

Q1. How should the nurse interpret the overall pattern?護理師應如何判讀整體型態？

Persistent high diabetes risk with prediabetes and a missed prevention opportunity持續高糖尿病風險合併糖尿病前期及錯失的預防機會 Resolved pregnancy-only glucose intolerance已緩解的僅限妊娠期葡萄糖不耐 Normal postpartum adaptation because symptoms are absent因無症狀故為正常產後調適 An isolated laboratory error that needs no follow-up需要無追蹤的單一實驗室檢驗錯誤

Q2. What is the best current response?目前最佳處置為何？

Wait until hyperglycemia symptoms appear等待高血糖症狀出現 Restart pregnancy insulin without evaluation未經評估即重新開始懷孕期胰島素 Repeat screening only during a future pregnancy僅於未來懷孕時重複篩檢 Arrange diagnostic follow-up and an individualized diabetes-prevention plan安排診斷性追蹤及個別化糖尿病預防計畫

Q3. Which teaching is accurate for future surveillance?有關未來監測，何項衛教正確？

A normal postpartum result ends screening產後結果正常即結束篩檢 Lifelong diabetes screening every 1 to 3 years is still needed仍需每1至3年終身糖尿病篩檢 A1C is always preferred during the first 12 weeks postpartum產後前12週A1C永遠為首選 Only clients who used insulin require follow-up僅使用胰島素的個案需要追蹤

查看答案

相同主題的下一題A 76-year-old client visits the primary care clinic for an annual wellness exam. The clien…本題收錄於此題庫[전통+신유형] NCLEX LEVEL UP 패키지KRW 79,000

僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。