A nurse is assisting in caring for a client who has pregestational type 1 diabetes mellitus (PDM). Which of the following findings should the nurse recognize as being associated with this condition?

Need for increased insulin dosage in the first trimester.

Development of hypotension.

Weight gain higher than recommended.

Polyphagia.

Answer and Explanation

The Correct Answer is D

Choice A rationale

In pregestational type 1 diabetes mellitus, insulin needs typically decrease during the first trimester due to increased insulin sensitivity and decreased food intake from nausea and vomiting, not an increased dosage.

Choice B rationale

Hypotension is not a typical finding associated with pregestational type 1 diabetes mellitus. Instead, hyperglycemia and its complications, such as ketoacidosis, are more relevant concerns.

Choice C rationale

While weight gain is monitored in diabetic pregnancies, excessive weight gain is not a specific condition associated with pregestational type 1 diabetes mellitus. Weight management should be appropriate to avoid complications.

Choice D rationale

Polyphagia, or increased hunger, is a symptom associated with diabetes mellitus due to the body's inability to properly utilize glucose, leading to increased appetite and higher blood glucose levels.

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Correct Answer is ["0.5"]

Explanation

Step 1: (1 mg ÷ 1 mg/0.5 mL) = 0.5 mL. Final answer: 0.5 mL.

A. Abruptio placentae. B. Premature rupture of membranes. C. Placenta previa. D. Prolapsed cord.

Correct Answer is A

Explanation

Choice A rationale

Abruptio placentae involves the premature separation of the placenta from the uterine wall, causing continuous abdominal pain and vaginal bleeding. This condition is a medical emergency that can compromise fetal and maternal health.

Choice B rationale

Premature rupture of membranes is characterized by the leaking or gushing of amniotic fluid, not continuous abdominal pain and vaginal bleeding. It usually doesn't present with severe pain unless there are complications like infection.

Choice C rationale

Placenta previa is where the placenta covers the cervical opening, causing painless vaginal bleeding. It typically does not involve continuous abdominal pain, distinguishing it from abruptio placentae.

Choice D rationale

Prolapsed cord occurs when the umbilical cord slips ahead of the baby during delivery, which is a different obstetric emergency. It does not present with continuous abdominal pain and vaginal bleeding.

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A nurse is assisting in caring for a client who has pregestational type 1 diabetes mellitus (PDM). Which of the following findings should the nurse recognize as being associated with this condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer vitamin K 1mg IM to a newborn. Available is vitamin K injection 1 mg/0.5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.5"]

Explanation

A nurse in the antepartum unit is assisting with the care of a client who is at 36 weeks of gestation and reports continuous abdominal pain and vaginal bleeding. The nurse should identify that the client is likely experiencing which of the following complications?

Correct Answer is A

Explanation

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