A 22-year-old primigravida visits the antepartal clinic in her third month of pregnancy. She has had diabetes mellitus for the past 7 years.
During the visit to the clinic, the nurse and patient discuss diabetes mellitus and pregnancy.Which comment by the patient would indicate a need for further instruction?
I will probably need more insulin as my pregnancy progresses.
I will have to increase my food intake during pregnancy.
Urine testing is the best indication of whether my blood sugar is under control.
Regular exercise will help keep my blood sugar under control.
The Correct Answer is C
The correct answer is choice C. Urine testing is the best indication of whether my blood sugar is under control. This is wrong because urine testing only reflects the blood sugar level at the time of urination, not the current level.
It also does not detect low blood sugar levels (hypoglycemia), which can be dangerous for the mother and the baby.
The best way to monitor blood sugar levels during pregnancy is to use a glucometer, which measures the blood glucose level from a drop of blood.
Choice A is correct because insulin requirements usually increase during pregnancy due to hormonal changes and increased insulin resistance.
The patient may need to adjust her insulin dose according to her blood glucose levels and dietary intake.
Choice B is correct because the patient needs to eat a balanced diet that provides adequate calories and nutrients for herself and the baby.
She may need to consult a dietitian to plan her meals and snacks according to her blood glucose levels and insulin regimen.
Choice D is correct because regular exercise can help lower blood glucose levels, improve insulin sensitivity, and prevent excessive weight gain during pregnancy.
The patient should consult her healthcare provider before starting or changing her exercise routine.
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Related Questions
Correct Answer is D
Explanation
The correct answer is choice D. It will be necessary for a Cesarean section when labor begins.This is because a pregnant person with herpes simplex virus (HSV) type II can pass the infection to the baby during childbirth, which can be life-threatening.A Cesarean section can lower the risk of infection by avoiding contact with the virus in the genital area.
Choice A is wrong because herpes can recur after delivery, especially if the person has a history of genital herpes before pregnancy.Choice B is wrong because weekly cultures of the herpes site are not recommended during pregnancy, as they are not reliable indicators of viral shedding or risk of transmission.Choice C is wrong because it is possible to have more than one herpes outbreak during pregnancy, especially if the person has a primary or nonprimary first-episode infection in the third trimester.
Correct Answer is B
Explanation
The correct answer is choice B. “You are doing a great job.
It’s very difficult to support someone during this part of labor.” This response acknowledges the husband’s feelings and efforts, and provides reassurance and encouragement.
It also reflects the reality that active labor can be very intense and painful for the woman, and she may not want to be touched or talked to.
Choice A is wrong because it suggests that the husband is not needed or wanted, and may make him feel rejected or useless.
Choice C is wrong because it implies that the husband is not a good support person, and may hurt his self-esteem or damage his relationship with his wife.
Choice D is wrong because it focuses on the physical aspect of labor, rather than the emotional one.
It also assumes that the woman wants medication, which may not be the case.
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