CNM Certified Nurse Midwife

Category - Primary Care

A 34-year-old female client is scheduled to have a glucose tolerance test in three days. Which of the following instructions by the nurse midwife is the most appropriate for the client?
  1. “Fast for 24 hours before the test.”
  2. “Eat a high-carbohydrate diet for three days before the test.”
  3. “Alcohol, smoking and coffee should be avoided for eight hours before the test.”
  4. ”Be sure to exercise some time in the eight-hour period before the test and after the test.”
Explanation
Answer: B - Before a glucose tolerance test, the client has to eat a high-carbohydrate diet, which is between 200 and 300 grams of carbohydrates, for three days. The client should fast for 10 to 16 hours before the test. Alcohol, smoking and coffee are avoided during the two or three days preceding the test. Exercise should be avoided during the eight-hour period preceding the test and during the eight-hour period following the test.
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