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 D

Explanation

The correct answer is choice D: Place the client in a lateral position. Late decelerations of the fetal heart rate on the monitor tracing can indicate fetal distress, which is a potential complication of oxytocin induction of labor. Placing the client in a lateral position can improve uteroplacental blood flow and may improve fetal oxygenation.

Choice A, administering misoprostol 25 mcg vaginally, can increase uterine contractions and may further compromise fetal oxygenation. Choice B, decreasing maintenance IV solution infusion rate, and choice C, administering oxygen via face mask at 2 L/min, are not effective interventions for late decelerations of the fetal heart rate.

A. Cervical dilation B. Scant, bright red spotting C. Slight abdominal cramps D. Elevated hcG

Correct Answer is A

Explanation

. The nurse should report cervical dilation to the provider as an indication of an imminent spontaneous abortion. Cervical dilation is a sign of cervical incompetence and can lead to spontaneous abortion. Scant, bright red spotting is a common finding in early pregnancy and may not indicate an imminent spontaneous abortion. Slight abdominal cramps can also be a normal finding in early pregnancy. Elevated hcG levels can indicate a viable pregnancy.

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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 caring for a client who is receiving oxytocin for induction of labor and notes late decelerations of the fetal heart rate on the monitor tracing. which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is assessing a client who is at 12 weeks of gestation. The nurse should report which of the following findings to the provider as an indication of an imminent spontaneous abortion?

Correct Answer is A

Explanation

A nurse is providing teaching to a client about the purpose of her upcoming indirect Coombs' test. Which of the following statements should the nurse include in the teaching?

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A nurse on an antepartum unit is receiving change-of-shift report for four clients. Which of the following clients should the nurse assess first?

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A nurse is reviewing the laboratory report for a client who is in active labor. The client tested positive for group B streptococcus S-hemolytic. Which of the following medications should the nurse plan to administer to the client?

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