A nurse is assisting in caring for a client who has pregestational type 1 diabetes mellitus (PDM). Which of the following findings should the nurse recognize as being associated with this condition?

Need for increased insulin dosage in the first trimester.

Development of hypotension.

Weight gain higher than recommended.

Polyphagia.

Answer and Explanation

The Correct Answer is D

Choice A rationale

In pregestational type 1 diabetes mellitus, insulin needs typically decrease during the first trimester due to increased insulin sensitivity and decreased food intake from nausea and vomiting, not an increased dosage.

Choice B rationale

Hypotension is not a typical finding associated with pregestational type 1 diabetes mellitus. Instead, hyperglycemia and its complications, such as ketoacidosis, are more relevant concerns.

Choice C rationale

While weight gain is monitored in diabetic pregnancies, excessive weight gain is not a specific condition associated with pregestational type 1 diabetes mellitus. Weight management should be appropriate to avoid complications.

Choice D rationale

Polyphagia, or increased hunger, is a symptom associated with diabetes mellitus due to the body's inability to properly utilize glucose, leading to increased appetite and higher blood glucose levels.

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Correct Answer is D

Explanation

Choice A rationale

Heavy lochia alba is an incorrect choice as lochia alba typically occurs after 10 days postpartum and is characterized by a whitish or yellowish discharge, not red.

Choice B rationale

Heavy lochia rubra is an incorrect choice because lochia rubra is characterized by bright red bleeding but heavy lochia would involve saturation of the pad within an hour, which is not the case here.

Choice C rationale

Moderate lochia serosa is incorrect because lochia serosa is typically pink or brown and occurs from approximately day 4 to day 10 postpartum, not red.

Choice D rationale

Scant lochia rubra is correct as the client is 3 days postpartum with red lochia measuring 2 cm on the pad, which indicates a small amount of bleeding consistent with scant lochia rubra.

A. "This screening test is to see if your baby's brain is fully developed.”. B. "This screening test is to see if your baby has a heart defect.”. C. "This screening test is to see if your baby has a seizure disorder.”. D. "This screening test is to see if your baby can hear various sounds.”.

Correct Answer is D

Explanation

Choice A rationale

The hearing screening test is not related to brain development but specifically to the ability to hear sounds. It assesses the infant's auditory pathway from the ear to the brainstem to identify potential hearing loss early on.

Choice B rationale

This test does not assess for heart defects. Heart defects are usually detected through physical examination, pulse oximetry screening, or echocardiography, not through auditory tests.

Choice C rationale

Seizure disorders are diagnosed based on clinical presentation and electroencephalogram (EEG) results. The hearing screening test does not have any connection to identifying seizure disorders.

Choice D rationale

The primary purpose of the newborn hearing screening is to detect if the baby can hear various sounds, enabling early intervention if hearing loss is detected. Early identification and management are essential for speech and language development.

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A nurse is assisting in caring for a client who has pregestational type 1 diabetes mellitus (PDM). Which of the following findings should the nurse recognize as being associated with this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from the perineal pad of a client who is 3 days postpartum. The nurse last checked the perineal pad 1 hour ago. There is 2 cm of red lochia on the pad. Which of the following correctly documents the nurse's finding?

Correct Answer is D

Explanation

A nurse is assisting with a newborn hearing test when the parent enters and asks what the nurse is doing. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

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