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 A

Explanation

The nurse should expect the client to have pelvic pain, as this is the most common symptom of an ectopic pregnancy, which occurs when the fertilized ovum implants outside the uterine cavity, usually in the fallopian tube. Pelvic pain can range from mild to severe, and can be unilateral or bilateral, depending on the location and extent of the ectopic pregnancy. Pelvic pain can be caused by tubal distension, rupture, or bleeding.

The other findings are not typical of an ectopic pregnancy and may indicate other conditions.

Severe nausea and vomiting are not common signs of an ectopic pregnancy, but they may occur in any pregnancy due to hormonal changes or other factors. Severe nausea and vomiting may also indicate hyperemesis gravidarum, which is a condition where nausea and vomiting are so severe that they cause dehydration, electrolyte imbalance, and weight loss.
Copious vaginal bleeding is not a usual sign of an ectopic pregnancy, but it may occur if the ectopic pregnancy ruptures and causes hemorrhage. However, copious vaginal bleeding may also indicate other complications such as placenta previa, placental abruption, or spontaneous abortion.
Uterine enlargement greater than expected for gestational age is not a sign of an ectopic pregnancy, but it may indicate a multiple gestation, hydatidiform mole, polyhydramnios, or a large fetus. An ectopic pregnancy usually causes uterine enlargement less than expected for gestational age, as the uterus does not contain a viable pregnancy.

Correct Answer is ["179.6"]

Explanation

To calculate the total protein/day that the nurse should recommend, we need to use the following formula:

Total protein/day = (Current protein intake + Increase in protein intake) x Weight in kg

The current protein intake is given as 0.8 g/kg/day, and the increase in protein intake is given as 20 g/kg/day. To convert the weight from pounds to kilograms, we need to divide by 2.2, so 220 lb / 2.2 = 100 kg.

Plugging these values into the formula, we get:

Total protein/day = (0.8 g/kg/day + 20 g/kg/day) x 100 kg Total protein/day = (20.8 g/kg/day) x 100 kg

Total protein/day = 2080 g/day

However, we need to round this answer to the nearest tenth, as per the instructions, so we get:

Total protein/day = 179.6 g of protein/day

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

Correct Answer is ["179.6"]

Explanation

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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 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?

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