A nurse is providing teaching to a client who has type 1 diabetes and is planning to become pregnant. Which of the following information should the nurse include?
"Your baby could be very large if you don't control your blood sugar level."
"Your baby is at an increased risk for having high blood sugar levels after delivery."
"You can expect to decrease your insulin dosage during the second and third trimesters.
"You will have an increased risk for developing ketoacidosis during the first trimester."
The Correct Answer is A
Choice A rationale:
Poorly controlled blood sugar levels can lead to fetal overgrowth (macrosomia), which increases the risk of a large baby during delivery.
Choice B rationale:
High blood sugar levels after delivery are not specific to babies born to mothers with type 1 diabetes.
Choice C rationale:
Insulin dosage requirements often increase during the second and third trimesters due to insulin resistance, not decrease.
Choice D rationale:
The risk of ketoacidosis is not typically increased in the first trimester; rather, the focus is on controlling blood sugar levels to minimize risks to the developing fetus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Genital herpes can be transmitted through viral shedding even when there are no visible lesions.
Choice B rationale:
Oil-based lubricants can weaken latex condoms, increasing the risk of condom breakage.
Choice C rationale:
Maintaining hydration is important during outbreaks to support the body's immune response.
Choice D rationale:
Acyclovir can help manage outbreaks, but it does not cure the infection.
Correct Answer is B
Explanation
Choice A rationale
Omeprazole is a proton pump inhibitor used to reduce stomach acid production and is not typically used for treating bloody stools in inflammatory bowel disease.
Choice B rationale:
Infliximab is used to treat inflammatory bowel disease and can help manage symptoms such as bloody stools by suppressing the inflammatory response.
Choice C rationale:
Ondansetron is an antiemetic used for nausea and vomiting, not related to bloody stools.
Choice D rationale:
Metoclopramide is used to treat nausea, vomiting, and gastrointestinal motility disorders, not specifically indicated for bloody stools.
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