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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Recessive disorders do not manifest in every subsequent generation. They appear only when an individual inherits two copies of the recessive gene, one from each parent, making them less frequent in the population.
Choice B rationale
Single gene disorders are not collectively prevalent; they are relatively rare. They are caused by mutations in a single gene and are not always detectable without specific genetic testing.
Choice C rationale
Genetic disorders are not always passed down from one's biological predecessors. Some genetic disorders arise from new mutations that occur during the formation of eggs or sperm, or early in embryonic development.
Choice D rationale
Single gene disorders can indeed be traced through genetic lineage. By analyzing family histories and genetic testing, these disorders can often be identified and tracked across generations.
Correct Answer is A
Explanation
Choice A rationale
Pelvic floor physical therapy helps strengthen the pelvic floor muscles, which can significantly reduce or eliminate urge incontinence in postpartum clients. These specialized exercises target muscle control and bladder function, providing a non-invasive first-line treatment.
Choice B rationale
A urologist specializes in the urinary tract system, but referral is usually not the first step. Initial non-invasive interventions, such as pelvic floor therapy, are typically recommended before consulting a specialist.
Choice C rationale
Sports medicine focuses on physical fitness and the treatment of sports-related injuries. It is not the appropriate referral for treating postpartum urge incontinence, which specifically involves the pelvic floor muscles and urinary system.
Choice D rationale
A primary care physician can provide general medical care, but specialized interventions like pelvic floor therapy are more effective for addressing the specific issue of urge incontinence postpartum.
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