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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
A balanced diet that includes fruits and vegetables is important for overall health, but it is not specifically related to the timing of sexual intercourse for conception.
Choice B rationale:
Using a lubricant during sexual intercourse can sometimes interfere with sperm motility and decrease the chances of conception.
Choice C rationale:
Having sexual intercourse 2 days following ovulation can increase the chances of fertilization since sperm can survive in the female reproductive tract for several days, and the egg is viable for a shorter period.
Choice D rationale:
While the type of underwear worn by the partner can influence testicular temperature, there is limited evidence to support the claim that tight-fitting underwear significantly affects fertility.
Correct Answer is C
Explanation
Choice A rationale:
Taking a hot bath to relieve muscle spasms might exacerbate symptoms in individuals with multiple sclerosis due to heat sensitivity.
Choice B rationale:
Participating in high-impact exercise daily can be challenging for individuals with multiple sclerosis, who may experience fatigue and mobility issues.
Choice C rationale:
Adequate hydration is essential for individuals with multiple sclerosis to maintain overall health and support neurological function.
Choice D rationale:
Restricting daily intake of dietary fiber is not recommended, as fiber can aid in maintaining bowel regularity for individuals with multiple sclerosis.
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