A nurse is reviewing the medical record for a client who is receiving treatment for gestational diabetes mellitus. Which of the following medications should the nurse expect to administer?

Levothyroxine.

Nifedipine.

Chlorpromazine.

Glyburide.

Answer and Explanation

The Correct Answer is D

Choice A rationale:
Levothyroxine is not a medication used to treat gestational diabetes mellitus. Levothyroxine is a synthetic thyroid hormone used to treat hypothyroidism, which is a different medical condition.

Choice B rationale:
Nifedipine is a calcium channel blocker primarily used to manage hypertension and angina. It is not indicated for the treatment of gestational diabetes mellitus.

Choice C rationale:
Chlorpromazine is an antipsychotic medication used to treat conditions like schizophrenia and bipolar disorder. It has no role in the treatment of gestational diabetes mellitus.

Choice D rationale:
Glyburide is the correct medication to expect for administering to a client with gestational diabetes mellitus. Glyburide is an oral antidiabetic agent that helps lower blood glucose levels by increasing insulin secretion from the pancreas. It is often used when dietary and lifestyle modifications are not sufficient in managing gestational diabetes. However, it is essential to follow healthcare provider guidelines and closely monitor the client's blood glucose levels while on this medication. In some cases, insulin may be required if glyburide alone is inadequate in controlling blood sugar levels.

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Correct Answer is D

Explanation

Choice A rationale:

Abdominal distention is not a typical manifestation of hypoglycemia in a newborn. Instead, it can be associated with gastrointestinal issues or other conditions affecting the abdominal organs.

Choice B rationale:

Petechiae are small, pinpoint purple or red spots that appear on the skin due to broken capillaries. They are not related to hypoglycemia and can be caused by various factors such as blood clotting disorders or infections.

Choice C rationale:

Increased muscle tone is not typically associated with hypoglycemia in a newborn. Instead, hypoglycemic babies may exhibit decreased muscle tone, lethargy, and poor feeding.

Choice D rationale:

Jitteriness is a common manifestation of hypoglycemia in newborns. It is characterized by rhythmic tremors, often involving the face and extremities. This occurs because the brain relies heavily on glucose for energy, and low blood sugar levels can affect neurological function, leading to jitteriness. Prompt intervention is necessary to prevent further complications.

A. "You cannot have an amniocentesis until you are at least 35 years of age.". B. "We can schedule the procedure for later today if you'd like.". C. "This procedure determines if your baby has genetic or congenital disorders.". D. "Your provider will schedule a chorionic villus sampling to determine the sex of your baby.".

Correct Answer is C

Explanation

Choice A rationale:

The nurse should not tell the client that she cannot have an amniocentesis until she is at least 35 years of age. Age is not the primary factor for determining the eligibility for an amniocentesis. Amniocentesis is typically performed when there is a medical indication, such as advanced maternal age, abnormal prenatal screening, or a family history of genetic disorders.

Choice B rationale:

The nurse should not schedule the amniocentesis for later today without further clarification from the provider. Scheduling medical procedures without the provider's approval is not within the nurse's scope of practice and could lead to potential risks.

Choice C rationale:

This is the correct answer. The nurse should explain to the client that amniocentesis is a procedure used to determine if the baby has genetic or congenital disorders. It involves the extraction of a small amount of amniotic fluid to analyze the fetal cells for genetic abnormalities.

Choice D rationale:

The nurse should not tell the client that her provider will schedule a chorionic villus sampling (CVS) to determine the sex of the baby. CVS is another prenatal diagnostic test, but its primary purpose is to detect genetic disorders early in pregnancy, not to determine the baby's sex.

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A nurse is reviewing the medical record for a client who is receiving treatment for gestational diabetes mellitus. Which of the following medications should the nurse expect to administer?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a newborn whose mother had gestational diabetes mellitus. The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?

Correct Answer is D

Explanation

A nurse in a provider's office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

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