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The nurse is reviewing the instructions given to a patient at 24 weeks’ gestation for a glucose challenge 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 g 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.”
Correct Answer: C

Rationale: The correct answer is C: “I will have blood drawn at 1 hour after I drink the glucose solution.” This statement demonstrates understanding of the GCT procedure. The glucose challenge test involves drinking a sugary solution, followed by blood drawn 1 hour later to measure blood glucose levels. This timing is crucial for assessing the body's ability to metabolize glucose, which helps in diagnosing gestational diabetes.

Explanation of why the other choices are incorrect:
A: “I have to fast the night before the test.” - This is incorrect as fasting is not required for the GCT.
B: “I will drink a sugary solution containing 100 g of glucose.” - This is incorrect as the GCT typically involves drinking a solution with a standardized amount of glucose, usually 50 g, not 100 g.
D: “I should keep track of my baby’s movements between now and the test.” - This is unrelated to the GCT procedure and does not demonstrate understanding of the