A 25-year-old woman with Type II Diabetes Mellitus should be educated on all the following regarding preconception care, except:

It includes close monitoring of the patient's blood sugar for one month prior to pregnancy

It involves a multidisciplinary care team approach.

It can help the patient plan the optimal time to become pregnant.

It is recommended for all diabetic women of childbearing age.

Answer and Explanation

The Correct Answer is D

It is recommended for all diabetic women of childbearing age. (This statement is not entirely accurate as preconception care is recommended specifically for women with diabetes who are considering pregnancy, not all women of childbearing age.)

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Correct Answer is C

Explanation

Nifedipine is a calcium channel blocker that can cause hypotension as a side effect, so the client should be advised to rise slowly from a sitting or lying position to avoid dizziness or fainting. The client does not necessarily need to be hospitalized and should continue taking the medication until a healthcare provider advises otherwise. The medication is typically continued until around 36-37 weeks gestation. There is no need to monitor respiratory rate with this medication.

A. How many weeks are you? B. Are you experiencing any pain?" C. When was your last ultrasound? D. "Do you plan to have a vaginal or cesarean delivery?"

Correct Answer is D

Explanation

The question that the nurse would prioritize the least during the assessment is "Do you plan to have a vaginal or cesarean delivery?" This is because the priority at this point is to determine the urgency of the situation and assess the patient's current condition. The patient's delivery plan can be addressed later after the initial assessment is completed and the patient's stability has been established.

The other questions are all important in determining the cause and severity of the bleeding and the appropriate course of action. The question about the number of weeks is important to determine the gestational age and potential causes of bleeding, as some causes are more common in certain stages of pregnancy. The question about pain can help to determine the possible causes of bleeding and the patient's comfort level. The question about the last ultrasound is important to determine the location of the placenta and whether there are any abnormalities or potential complications.

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A 25-year-old woman with Type II Diabetes Mellitus should be educated on all the following regarding preconception care, except:

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Naxlex Comprehensive Predictor Exams

Educating a client about starting nifedipine (Procardia) for preterm labor prevention, the nurse knows that her educational plan for this client should include which of the following?

Correct Answer is C

Explanation

A patient arrives at OB triage with a complaint of vaginal bleeding. The nurse would prioritize all of the following questions during the assessment except:

Correct Answer is D

Explanation

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Which of the following methods would be best if the nurse wanted to study the complex relationships among factors that contribute to chronic disease?

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Which of the following needs to be considered when using the Health Belief Model (HBM)?

The nurse is providing education for a patient who has been newly diagnosed with a placenta previa at 37 weeks' gestation. The nurse understands that teaching has not been effective when the patient states: