Inpatient Obstetric Nurse (NCC) Practice Exam

The ideal blood glucose range during pregnancy for women with diabetes is centered around ensuring both maternal health and the optimal development of the fetus. The correct range indicates that pre-meal blood glucose levels should be maintained between 70-110 mg/dL, which helps minimize the risk of complications such as macrosomia (excessive fetal growth) and neonatal hypoglycemia. Additionally, maintaining blood glucose levels below 140 mg/dL two hours after eating is essential to prevent postprandial spikes that can adversely affect the pregnancy.

This targeted glucose control is crucial because high blood sugar levels can lead to several risks during pregnancy, including increased likelihood of gestational hypertension, preeclampsia, and poorer outcomes for both the mother and baby. Managing glucose levels effectively reduces these risks and supports a healthier pregnancy overall.

In contrast, the other options either reflect ranges that are not as tightly controlled or focus on elevated glucose management strategies that may not align with current best practices for those who are pregnant. This specificity to timing and context (before meals versus after meals) is vital in diabetes management during pregnancy for ensuring comprehensive maternal-fetal safety and health.