A nurse is caring for a 24-year-old female client in the postpartum unit. The client has a history of type 1 diabetes mellitus, first diagnosed at 14 years of age, and is on insulin for diabetes management. The client is gravida 1 para 1 following a spontaneous vaginal birth at 37 weeks of gestation. The newborn was large for gestational age, weighing 4.1 kg (9 lb). The client has a third-degree laceration that required several stitches.

Exhibits

Drag words from the choices below to fill in each blank in the following sentence.

Sentence: The nurse should plan to
dropdown
and
dropdown
.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}

The nurse should plan to B. check the client’s blood glucose level and A. obtain a urine sample to test for ketones.

Explanation:

Check the client’s blood glucose level: Given the client’s history of type 1 diabetes mellitus and her current symptoms (diaphoresis, clammy skin, headache, nausea, and weakness), it is crucial to check her blood glucose level to rule out hypoglycemia or hyperglycemia, despite the recent blood glucose reading of 120 mg/dL.
Obtain a urine sample to test for ketones: Testing for ketones is important in diabetic patients, especially when they present with symptoms that could indicate diabetic ketoacidosis (DKA), such as nausea, weakness, and a history of type 1 diabetes.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale

Pain in the upper right abdomen is not a typical sign of preterm labor. Preterm labor symptoms include regular contractions, lower back pain, and pelvic pressure.

Choice B rationale

Contractions occurring more frequently than every 10 minutes can indicate preterm labor. Regular contractions are a key sign of preterm labor.

Choice C rationale

While iron supplements are important during pregnancy, they do not prevent preterm labor. Preterm labor is influenced by various factors, including infections and uterine abnormalities.

Choice D rationale

Walking typically does not stop contractions associated with preterm labor. In fact, activity can sometimes exacerbate contractions.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

The nurse should clarify the prescription forRh (D) immune globulinbecause of the client’sblood type.

Explanation:

Rh (D) immune globulinis administered to Rh-negative mothers to prevent Rh sensitization, which can occur if the mother is Rh-negative and the baby is Rh-positive. This medication is crucial in preventing hemolytic disease of the newborn in future pregnancies.
In this case, the client’s blood type isO+(Rh-positive). Therefore, administering Rh (D) immune globulin is unnecessary and inappropriate for this client, as it is only indicated for Rh-negative individuals.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about preterm labor with a client who is at 28 weeks of gestation.Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

A nurse in a provider’s office is collecting data from a client who is at 34 weeks of gestation and reports having a sudden gush of vaginal fluid.Which of the following manifestations is the priority?

A nurse is assisting with the care of a client who is in the third trimester of gestation.Which of the following statements by the client’s partner indicates effective adaptation to their new role?

A nurse is contributing to the plan of care for a newborn who requires phototherapy for hyperbilirubinemia.Which of the following interventions should the nurse recommend including in the plan?

A nurse is reinforcing discharge instructions about breastfeeding with a client.Which of the following statements should the nurse make?

A nurse is reinforcing teaching with a client who is pregnant and reports frequent heartburn.Which of the following recommendations should the nurse include in the teaching?

A nurse is assisting with the care of a postpartum client who delivered vaginally 8 hours ago.Select the findings that require immediate follow-up.

A nurse is collecting data from a client who is receiving epidural anesthesia.Which of the following findings indicates an adverse effect of this method of pain management?

A nurse is assisting with the care of a newborn who was born at 39 weeks of gestation and is 36 hours old in the neonatal unit. Exhibits Which of the following findings should the nurse report to the RN? Select all that apply.