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

Levothyroxine

Glyburide

C. Nifedipine

Chlorpromazine

Answer and Explanation

The Correct Answer is B

Glyburide is an oral hypoglycemic medication used to control blood glucose levels in individuals with type 2 diabetes. It is also used in the management of gestational diabetes mellitus (GDM) when dietary and lifestyle interventions alone are not sufficient to control blood glucose levels. Glyburide works by stimulating the pancreas to release insulin and also by increasing the sensitivity of peripheral tissues to insulin. It is preferred over insulin injections because it is easier to administer and monitor, and it does not pose a risk of hypoglycemia as long as blood glucose levels are closely monitored. In addition, glyburide does not cross the placenta, which minimizes the risk of fetal hypoglycemia. However, some studies have suggested that glyburide may be associated with an increased risk of neonatal hypoglycemia and macrosomia (large birth weight), so careful monitoring of the mother and fetus is required. Other medications such as levothyroxine, nifedipine, and chlorpromazine are not used in the management of gestational diabetes mellitus.

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Correct Answer is B

Explanation

The client who understands the teaching on listeriosis and dietary modifications during pregnancy states that they can eat grilled chicken on a bun at lunchtime. Listeriosis is a bacterial infection that can cause miscarriage, stillbirth, or severe illness in newborns. Clients should avoid certain high-risk foods during pregnancy, such as soft cheeses, deli meats, seafood salads, and hot dogs. Grilled chicken on a bun is a safe option for the client to consume.

A. "Retract the foreskin to clean your baby's penis during each bath." B. "Place triple antibiotic ointment on your baby's umbilical cord twice per day." C. "Notify your baby's pediatrician if he urinates less than six times a day." D. "Swaddle your baby tightly with his legs extended before laying him down to sleep."

Correct Answer is C

Explanation

The correct answer is choice C, "Notify your baby's pediatrician if he urinates less than six times a day." The nurse should instruct the postpartum client to notify her baby's pediatrician if the newborn urinates less than six times a day, which can indicate dehydration. The client should also be instructed to clean the newborn's penis with warm water and a soft cloth during diaper changes and avoid retracting the foreskin. The nurse should advise the client to apply petroleum jelly to the newborn's circumcision site to prevent irritation and adhere to a regular feeding schedule.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a prenatal client about listeriosis and dietary modifications during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is providing discharge teaching to a postpartum client about caring for her 5-day-old male newborn at home. Which of the following statements should the nurse make to the client?

Correct Answer is C

Explanation

A nurse is providing teaching to a postpartum client who has type 1 diabetes mellitus and is breastfeeding her newborn. Which of the following instructions should the nurse give the client?

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A nurse is performing an assessment for a newborn and notes breast tissue that has a flat areola with no bud. The nurse should identify that this finding indicates which of the following conditions?

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A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV transplacentally. Which of the following findings should the nurse expect the newborn to exhibit?