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A nurse is reinforcing teaching with a client at her first prenatal visit about expected changes during gestation. (Arrange the steps in order, placing them in the selected order of occurrence from earliest to latest in gestation. Use all the steps.)

Breast tenderness

Nausea and vomiting

Quickening

Goodell's sign

Striae gravidarum

Lightening

Answer and Explanation

Correct Answer : A,B,C,D,E,F

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Correct Answer is C

Explanation

This statement by the client indicates a need for further teaching, as it shows that the client does not understand the importance of regular physical activity for managing gestational diabetes. Physical activity can help lower blood glucose levels, improve insulin sensitivity, and prevent excessive weight gain during pregnancy. The client should aim for at least 30 minutes of moderate-intensity exercise on most days of the week, unless contraindicated by medical or obstetric complications.

The other statements by the client indicate that the client understands the key aspects of gestational diabetes management.

"I should limit my carbohydrates to 50% of caloric intake.” This statement is correct, as the client should follow a balanced diet that provides adequate nutrition for herself and her fetus, while controlling blood glucose levels. Carbohydrates are the main source of glucose and should be limited to 50% of caloric intake, distributed evenly throughout the day, and preferably from complex sources such as whole grains, fruits, and vegetables.

"I will take my glyburide daily with breakfast.” This statement is correct, as the client should take her prescribed oral hypoglycemic medication as directed by her provider. Glyburide is a sulfonylurea that stimulates insulin secretion and lowers blood glucose levels. It is usually taken once or twice a day with meals, depending on the dose and blood glucose response.

d. "I know I am at increased risk to develop type 2 diabetes." This statement is correct, as the client should be aware of the long-term implications of gestational diabetes. Gestational diabetes is a condition where the body becomes resistant to insulin during pregnancy, resulting in high blood glucose levels. It usually resolves after delivery, but it increases the risk of developing type 2 diabetes later in life. The client should monitor her blood glucose levels regularly, maintain a healthy weight, and have screening tests for diabetes every 1 to 3 years.

A. Lightening B. Chloasma C. Ballotement D. Quickening

Correct Answer is D

No explanation

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A nurse is reinforcing teaching with a client at her first prenatal visit about expected changes during gestation. (Arrange the steps in order, placing them in the selected order of occurrence from earliest to latest in gestation. Use all the steps.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the prenatal clinic is reinforcing teaching to a client who is in her second trimester and has a new diagnosis of gestational diabetes. Which statement by the client indicates a need for further teaching?

Correct Answer is C

Explanation

A nurse is collecting data from a client who is at 18 weeks of gestation and tells the nurse that she felt light ﬂutering in her stomach the previous day. The nurse should use which of the following terms to document this finding?

Correct Answer is D

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A nurse is collecting data from a client who is in her second trimester of pregnancy. The nurse should recognize which of the following findings as an expected physiologic change during pregnancy?

A nurse is reinforcing teaching with a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse recognizes that which of the following is the most common risk factor for a placental abruption?

A nurse is collecting data from a postpartum client and finds a large amount of lochia rubra with several clots on the client's perineal pad. Which of the following actions should the nurse take first?

A nurse is caring for a client who is at 34 weeks of gestation and has a suspected placenta previa. Which of the following actions should the nurse take?

A nurse is caring for a client 4 hours postpartum following a vaginal birth. The client has saturated a perineal pad within 10 minutes. Which of the following is the nurse's first action?

A nurse is reinforcing teaching with a client who is in her second trimester and has a new diagnosis of gestational diabetes. Which of the following statements by the client indicates a need for further teaching?