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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Cervical dilation is a source of visceral pain during labor due to the stretching and opening of the cervix, and it is not incorrect information.
Choice B rationale
Stretching of the pelvic muscles is incorrect because visceral pain during labor is typically associated with internal organs and not the stretching of pelvic muscles, which is more somatic pain.
Choice C rationale
Nerve stimulation is a cause of visceral pain as labor pain is transmitted through the nerves to the spinal cord and brain.
Choice D rationale
Uterine contractions are a major source of visceral pain during labor as they involve the powerful and rhythmic tightening and relaxing of the uterine muscles.
Correct Answer is A
Explanation
Choice A rationale
Rhythmic respirations indicate the client is using controlled breathing techniques to manage labor pain, which demonstrates effective coping. This method helps maintain oxygen levels and can reduce the perception of pain through focused breathing.
Choice B rationale
Crying during labor may indicate emotional distress or pain, suggesting the client might be struggling to cope effectively with labor. While it is a natural response, it is not typically associated with controlled coping mechanisms.
Choice C rationale
Lack of concentration can indicate that the client is overwhelmed by pain or anxiety, which may hinder her ability to use coping strategies effectively. It suggests she might be struggling to manage her labor experience.
Choice D rationale
Perspiration is a common physiological response to the exertion and stress of labor, but it does not specifically indicate how well the client is coping with labor pain or stress. It is a normal part of the labor process but not a clear sign of effective coping.
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