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?

"I should limit my carbohydrates to 50% of my daily caloric intake."

"I know I am at increased risk to develop type 2 diabetes."

"I will reduce my exercise schedule to 3 days a week."

"I will take my glyburide daily with breakfast."

Answer and Explanation

The Correct Answer is C

c. "I will reduce my exercise schedule to 3 days a week."

The client should not reduce her exercise schedule, as physical activity can help lower blood glucose levels and improve insulin sensitivity in gestational diabetes. The client should aim for at least 30 minutes of moderate-intensity exercise on most days of the week unless contraindicated by her provider. Exercise can also help prevent excessive weight gain, preeclampsia, and macrosomia in pregnancy.

The other statements are correct and do not indicate a need for further teaching.

The client should limit her carbohydrates to 50% of her daily caloric intake, as carbohydrates have the most impact on blood glucose levels. The client should also choose complex carbohydrates that are high in fiber and low in glycemic index, such as whole grains, fruits, and vegetables. The client should know that she is at increased risk of developing type 2 diabetes, as gestational diabetes is a risk factor for future diabetes mellitus. The client should undergo screening for diabetes 6 to 12 weeks after delivery and every 1 to 3 years thereafter. The client should also adopt lifestyle modifications such as a healthy diet, regular exercise, and weight management to prevent or delay the onset of type 2 diabetes. The client should take her glyburide daily with breakfast, as glyburide is an oral antidiabetic agent that can be used to treat gestational diabetes when diet and exercise are not enough to control blood glucose levels. Glyburide stimulates the pancreas to produce more insulin and lowers blood glucose levels. Glyburide should be taken with the first meal of the day to avoid hypoglycemia.

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Correct Answer is ["200"]

Explanation

To find the loading dose rate, we need to use the formula:

Rate (mL/hr) = Dose (g) x Volume (mL) / Time (hr) x Concentration (g)

Plugging in the given values, we get:

Rate (mL/hr) = 4 g x 1000 mL / 0.5 hr x 80 g

Simplifying, we get:

Rate (mL/hr) = 100 g/mL / 40 g/hr

Rate (mL/hr) = 2.5 mL/g

Multiplying by 1000, we get:

Rate (mL/hr) = 2500 mL/g x g/hr

Canceling out the units of g, we get:

Rate (mL/hr) = 2500 mL/hr

Rounding to the nearest whole number, we get:

Rate (mL/hr) = 200 mL/hr

A. Maternal batering B. Maternal cigarete smoking C. Maternal hypertension D. Maternal cocaine use

Correct Answer is A

Explanation

Hypertension is the most common risk factor for placental abruption, which occurs when the placenta separates from the uterine wall before delivery. Hypertension can cause damage to the blood vessels that supply the placenta, leading to reduced blood ﬂow and increased pressure in the intervillous space. This can cause hemorrhage and detachment of the placenta.

The other options are not as common as hypertension, but they can also increase the risk of placental abruption by causing trauma, vasoconstriction, or inﬂammation in the placenta or uterus.

Maternal batering can cause direct injury to the abdomen or uterus, resulting in placental abruption.

Maternal cigarete smoking can cause vasoconstriction and reduced blood ﬂow to the placenta, as well as increase the risk of thrombosis and inﬂammation in the placental vessels.

d. Maternal cocaine use can cause severe vasoconstriction and hypertension, which can impair placental perfusion and cause placental abruption.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["200"]

Explanation

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?

Correct Answer is A

Explanation

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?

A nurse is caring for a client who has just learned that she is pregnant. The nurse should reinforce with the client to call her provider if she experiences which of the following manifestations?

A nurse is assisting with the care of a client who is experiencing preterm labor and is scheduled to undergo amniocentesis. The client needs an amniocentesis to determine which of the following findings?

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?

A nurse is reinforcing teaching with a client who is pregnant and has a body mass index (BMI) of 26.5. She asks the nurse how much weight she should gain over the course of her pregnancy. Which of the following statements is an appropriate response by the nurse?

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.)

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?

A nurse is caring for a client in the immediate postoperative period following removal of an ectopic pregnancy via salpingostomy. The nurse should prepare to administer Rho(D) immune globulin (RhoGAM or RhiG) as prescribed if the record indicates that the client