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."

Answer and Explanation

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.

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Correct Answer is A

No explanation

A. "Schedule appointments early in the morning." B. "Look down at your feet when walking." C. "Thicken liquids to promote swallowing." D. "Take a laxative if you experience constipation."

Correct Answer is C

Explanation

Choice A rationale:

Scheduling appointments earlier in the day accommodates the client's potential "on" periods when Parkinson's symptoms are better controlled.

Choice B rationale:

Looking down at the feet while walking is a technique that can help improve gait and stability, as Parkinson's disease often affects balance.

Choice C rationale:

Thicker liquids are less likely to cause aspiration in individuals with Parkinson's disease, as they can have difficulty coordinating the muscles needed for swallowing.

Choice D rationale:

Constipation is a common issue in Parkinson's disease due to decreased gastrointestinal motility. However, focusing on dietary fiber and fluid intake is preferred before considering laxatives.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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