A new mother who is breastfeeding her 4-week-old infant and has type 1 diabetes, reports that her insulin needs have decreased since the birth of her child. Which action should the nurse implement?
Schedule an appointment for the client with the diabetic nurse educator.
Counsel her to increase her caloric intake
Inform her that a decreased need for insulin occurs while breastfeeding
Advise the client to breastfeed more frequently
The Correct Answer is C
A. Schedule an appointment for the client with the diabetic nurse educator:
This could be a helpful action. The diabetic nurse educator can provide valuable support and education on managing insulin needs during breastfeeding.
B. Counsel her to increase her caloric intake:
While adequate nutrition is essential, increasing caloric intake may not be the primary factor affecting insulin needs. It's important to consider the specific needs of the client, and any adjustments to insulin should be made based on careful monitoring.
C. Inform her that a decreased need for insulin occurs while breastfeeding:
This is accurate information. Breastfeeding can lead to a decreased need for insulin in some individuals. The nurse should provide education on this aspect of managing diabetes during breastfeeding.
D. Advise the client to breastfeed more frequently:
While breastfeeding frequency can impact insulin needs, it's essential to consider the overall picture. Simply increasing breastfeeding frequency may not be the only factor affecting insulin requirements.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Chromosomal abnormalities:
While an ultrasound can sometimes identify structural abnormalities, it's not the primary tool for detecting chromosomal abnormalities. Genetic testing or procedures like amniocentesis are more specific for this purpose.
B. Sex and size of the infant:
An ultrasound is indeed used to determine the sex of the baby and assess its size and growth.
C. Lecithin-sphingomyelin ratio:
The lecithin-sphingomyelin ratio is typically assessed in tests related to fetal lung maturity, which is not the primary purpose of a routine ultrasound.
D. Fetal growth and gestational age:
This is one of the primary purposes of a routine ultrasound during pregnancy. It helps evaluate the baby's growth and ensures it aligns with the expected gestational age.
Correct Answer is ["E"]
Explanation
A. Place client in a negative pressure room: Negative pressure rooms are typically used for airborne precautions, not for preventing the transmission of HIV, which primarily requires standard precautions.
B. Implement droplet precautions: HIV does not spread through respiratory droplets. Droplet precautions are for diseases like influenza or meningitis that spread through respiratory droplets, not for HIV.
C. Encourage the mother to bottle-feed: This recommendation can vary based on specific circumstances. In many developed countries, the recommendation is for HIV-positive mothers to avoid breastfeeding to reduce the risk of transmitting HIV to the infant. However, this decision should be discussed with healthcare providers and based on individual circumstances.
D. Give antiviral medication intravenously: Antiretroviral medications are used to manage HIV. However, the method of administration and specific medications depend on the client's condition and the stage of pregnancy. Intravenous administration might not be the standard for HIV management during labor.
E. Use standard precautions: Standard precautions are the most appropriate approach. These include wearing gloves, practicing good hand hygiene, and using protective barriers as needed to prevent contact with blood and body fluids, which is the primary mode of HIV transmission.
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