During a prenatal visit, the nurse is explaining dietary management to a woman diagnosed with pre-gestational diabetes. Which statement by the client reassures the nurse that teaching has been effective?

"I will need to eat 600 more calories per day because I am pregnant."

“I will plan my diet based on the results of urine glucose testing."

“I can continue with the same diet as before pregnancy as long as it is well balanced."

"Diet and insulin needs change during pregnancy."

Answer and Explanation

The Correct Answer is D

A. "I will need to eat 600 more calories per day because I am pregnant." Pregnant clients with diabetes require careful calorie management. The recommended increase is about 300 kcal/day, not 600, to support fetal growth while maintaining glycemic control.

B. "I will plan my diet based on the results of urine glucose testing." Urine glucose testing is not a reliable indicator of blood glucose control because it does not reflect real-time fluctuations. Clients should base dietary adjustments on blood glucose monitoring.

C. "I can continue with the same diet as before pregnancy as long as it is well balanced." Pregnancy alters insulin needs, requiring dietary modifications to maintain blood glucose control. Carbohydrate intake must be carefully regulated to prevent hyperglycemia.

D. "Diet and insulin needs change during pregnancy." Hormonal changes in pregnancy increase insulin resistance, necessitating adjustments in diet and insulin therapy to maintain optimal blood glucose levels.

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Correct Answer is A

Explanation

A. Intravenous (IV) therapy to correct fluid and electrolyte imbalances: The primary concern in hyperemesis gravidarum is dehydration and electrolyte imbalances due to excessive vomiting. IV fluids are the first-line treatment to restore hydration and correct any imbalances.

B. Enteral nutrition to correct nutritional deficits: Enteral nutrition is considered if the client cannot tolerate oral intake after initial IV therapy, but it is not the first-line treatment.

C. Corticosteroids to reduce inflammation: Corticosteroids are not typically used for hyperemesis gravidarum. They may be considered in severe, refractory cases, but they are not part of the initial treatment.

D. Antiemetic medication, such as pyridoxine, to control nausea and vomiting: Although pyridoxine (vitamin B6) and antiemetics are commonly used to manage nausea, the initial priority is rehydration and correction of electrolyte imbalances before initiating oral medications.

A. Contractions that last for 60 seconds each with a 2-min rest between contractions B. Contractions that last for 60 seconds each with a 3-min rest between contractions C. A contraction that lasts 3 min followed by a period of relaxation D. Contractions that last 45 seconds each with a 2-min rest between contractions

Correct Answer is A

Explanation

A. Contractions that last for 60 seconds each with a 2-min rest between contractions. If contractions are 3 minutes apart, this means the interval from the start of one contraction to the start of the next is 3 minutes. If each contraction lasts for 60 seconds, there will be a 2-minute rest period before the next contraction begins.

B. Contractions that last for 60 seconds each with a 3-min rest between contractions. This would indicate contractions occurring every 4 minutes, not every 3 minutes.

C. A contraction that lasts 3 min followed by a period of relaxation. A contraction lasting 3 minutes is abnormal and suggests uterine tachysystole, which can be dangerous.

D. Contractions that last 45 seconds each with a 2-min rest between contractions. If contractions last 45 seconds, the remaining rest period would be 2 min 15 sec, not exactly 2 minutes.

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During a prenatal visit, the nurse is explaining dietary management to a woman diagnosed with pre-gestational diabetes. Which statement by the client reassures the nurse that teaching has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse who is caring for a woman hospitalized for hyperemesis gravidarum would expect the initial treatment to involve what?

Correct Answer is A

Explanation

A nurse receives a report about a client who is in labor and is having contractions 3 min apart. Which of the following patterns should the nurse expect on the fetal monitoring tracing?

Correct Answer is A

Explanation

A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise. The nurse should anticipate a prescription from the provider for which of the following medications for the client?

A nurse is caring for a client who is in active labor when the client's membranes rupture. The fetal monitor tracing shows late decelerations. Which of the following actions should the nurse take first?

During a prenatal visit, the nurse is explaining dietary management to a woman diagnosed with pre-gestational diabetes. Which statement by the client reassures the nurse that teaching has been effective?

When interpreting fetal heart rate patterns, what other information is considered in addition to baseline and variability?

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A nurse in a prenatal clinic is instructing a client about an amniocentesis, which is scheduled at 15 weeks of gestation. Which of the following should be included in the teaching?

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