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 D

Explanation

Choice A rationale

Recessive disorders do not manifest in every subsequent generation. They appear only when an individual inherits two copies of the recessive gene, one from each parent, making them less frequent in the population.

Choice B rationale

Single gene disorders are not collectively prevalent; they are relatively rare. They are caused by mutations in a single gene and are not always detectable without specific genetic testing.

Choice C rationale

Genetic disorders are not always passed down from one's biological predecessors. Some genetic disorders arise from new mutations that occur during the formation of eggs or sperm, or early in embryonic development.

Choice D rationale

Single gene disorders can indeed be traced through genetic lineage. By analyzing family histories and genetic testing, these disorders can often be identified and tracked across generations.

A. I will tell my pregnant friend to get their shot after they have their baby to be safe. B. My friend had chicken pox as a kid, so they probably don't need this vaccine. C. I'm glad this isn't an annual vaccine like the flu shot. D. I will get my second dose of the vaccine at the pharmacy 12 weeks postpartum.

Correct Answer is C

Explanation

Choice A rationale

Advising a pregnant friend to get the varicella vaccine postpartum is correct as it is a live vaccine not recommended during pregnancy due to potential risks to the fetus.

Choice B rationale

If a person had chickenpox, they likely have immunity, but it's still beneficial to assess for varicella zoster immunity to determine if vaccination is necessary.

Choice C rationale

Varicella vaccine requires two doses, and misunderstanding this indicates a need for further teaching to ensure complete immunization and protection.

Choice D rationale

Planning to get the second dose at the pharmacy 12 weeks postpartum is correct, showing understanding of the vaccination schedule and follow-up care.

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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 reinforcing teaching to a group of clients about genetic disorders. Which of the following statements should the nurse include in the education reinforcement?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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