A client has completed the 3-hour oral glucose tolerance test (GTT) after failing the initial screening. The nurse notes the client has failed the 2-hour and 3-hour tests. The nurse anticipates that the client will:

Continue routine prenatal care.

Be referred to an endocrinologist.

Be diagnosed with Type II diabetes.

Be referred to a dietician.

Answer and Explanation

The Correct Answer is B

In some cases, an endocrinologist may also be involved in the management of gestational diabetes. The nurse can anticipate that the client will be diagnosed with gestational diabetes and will be referred to a dietician for dietary modifications and glucose monitoring during the remainder of her pregnancy. Regular prenatal care will also continue, and the healthcare provider may adjust the treatment plan based on the client's individual needs.

However, a diagnosis of Type II diabetes would not be made solely based on a failed GTT during pregnancy, as gestational diabetes is a temporary condition that usually resolves after delivery.

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Correct Answer is C

Explanation

In the case of a bioterrorism attack involving anthrax, the main priority for the nurse is to administer antibiotics within 48 hours of exposure using the Strategic National Stockpile. Anthrax is a serious bacterial infection that can be used as a bioterrorism weapon. Antibiotics, such as ciprofloxacin, doxycycline, and penicillin, can be used to prevent anthrax from developing in people who have been exposed.

There is currently no vaccine available for anthrax exposure. Also, symptom support alone is not enough in cases of anthrax exposure, as anthrax can progress rapidly and lead to serious complications. Placing everyone who was exposed in quarantine may not be necessary in all situations, and should be determined on a case-by-case basis depending on the extent and severity of the exposure.

A. Tachycardia. B. Hypoxia C. Bradycardia. D. A normal baseline heart rate

Correct Answer is D

Explanation

The baseline fetal heart rate is the average heart rate over a 10-minute period, excluding accelerations and decelerations, and is an important indicator of fetal well-being during labor.

A baseline fetal heart rate of 110-160 beats/min is considered normal. A baseline heart rate of less than 110 beats/min is considered bradycardia, which can be a sign of fetal distress or hypoxia. A baseline heart rate greater than 160 beats/min is considered tachycardia, which can also be a sign of fetal distress or hypoxia.

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A client has completed the 3-hour oral glucose tolerance test (GTT) after failing the initial screening. The nurse notes the client has failed the 2-hour and 3-hour tests. The nurse anticipates that the client will:

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Naxlex Comprehensive Predictor Exams

A bioterrorism attack occurred locally in which people were exposed to anthrax. As the nurse, you understand the main priority would be:

Correct Answer is C

Explanation

During labor a fetus with an average heart rate of 135 beats/min over a 10-minute period would be considered to have:

Correct Answer is D

Explanation

Which of the following is not included in the Health Planning Model?

Which major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?

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For clinical purposes, the most accurate definition of preterm and post-term infants is defined as what?

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A nurse is developing goals for a community education program. Which of the following methods should be used?

On examining a woman who gave birth 5 hours ago, the nurse finds that the woman has completely saturated a perineal pad within 15 minutes. The nurse's first action is to: