A nurse is caring for a client who is at 31 weeks of gestation and has gestational diabetes mellitus. The client asks, "Can gestational diabetes affect my baby?" Which of the following responses should the nurse make?

"Gestational diabetes increases the risk of your baby having hemorrhagic disease after birth."

"Gestational diabetes increases the risk of your baby having a cleft lip or palate."

"Gestational diabetes increases the risk of your baby having hypoglycemia after birth."

"Gestational diabetes increases the risk of your baby having a low birth weight."

Answer and Explanation

The Correct Answer is C

A) "Gestational diabetes increases the risk of your baby having hemorrhagic disease after birth." Hemorrhagic disease of the newborn is typically related to vitamin K deficiency, not gestational diabetes. Thus, this response does not directly address the risks associated with gestational diabetes.

B) "Gestational diabetes increases the risk of your baby having a cleft lip or palate." Cleft lip and palate are congenital conditions that are more related to genetic and environmental factors during the early stages of pregnancy. Gestational diabetes does not increase the risk of these specific congenital abnormalities.

C) "Gestational diabetes increases the risk of your baby having hypoglycemia after birth." This is correct. Infants born to mothers with gestational diabetes are at risk for hypoglycemia shortly after birth due to the high levels of insulin produced in response to maternal hyperglycemia during pregnancy.

D) "Gestational diabetes increases the risk of your baby having a low birth weight." Gestational diabetes more commonly leads to macrosomia (large birth weight) rather than low birth weight. The excessive glucose levels in the mother’s blood can result in increased fetal insulin production, leading to increased growth and fat deposits.

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Correct Answer is A

Explanation

A) Impaired coordination:
Impaired coordination is a common manifestation of hypothermia. As the body temperature drops, the nervous system is affected, leading to difficulties in motor control and coordination. This symptom is indicative of the body's struggle to maintain normal physiological functions in response to the cold.

B) Sensitivity to light:
Sensitivity to light is not typically associated with hypothermia. This symptom is more commonly related to conditions affecting the eyes or the central nervous system, such as migraines or meningitis.

C) Increased respiratory rate:
Hypothermia generally leads to a decreased respiratory rate as the body's metabolic processes slow down. An increased respiratory rate is not a common symptom and may indicate another underlying condition or a compensatory mechanism for another issue.

D) Hypertension:
Hypertension is not a typical manifestation of hypothermia. In fact, as hypothermia progresses, the body's blood pressure often decreases due to reduced cardiac output and peripheral vasoconstriction.

A. "Apply dry heat to help the lesions scab over." B. "Take three sitz baths each day to alleviate symptoms." C. "Apply talcum powder to the perineal area to help the lesions dry." D. "You can resume intercourse with the use of natural membrane condoms."

Correct Answer is B

Explanation

A. Apply dry heat to help the lesions scab over.: Applying dry heat is not a recommended treatment for herpes simplex lesions. Moist heat, such as sitz baths, can help alleviate discomfort and promote healing.

B. Take three sitz baths each day to alleviate symptoms.: Sitz baths can help soothe and clean the affected area, providing relief from pain and itching associated with herpes simplex virus lesions. This is an appropriate recommendation for symptom management.

C. Apply talcum powder to the perineal area to help the lesions dry.: Talcum powder is not recommended for herpes simplex lesions as it can irritate the skin and worsen symptoms. Keeping the area dry can be beneficial, but using powders is not advised.

D. You can resume intercourse with the use of natural membrane condoms.: Condoms may reduce the risk of transmission but do not eliminate it completely. It is generally advised to avoid sexual activity during an outbreak to prevent spreading the virus.

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A nurse is caring for a client who is at 31 weeks of gestation and has gestational diabetes mellitus. The client asks, "Can gestational diabetes affect my baby?" Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has hypothermia. Which of the following findings should the nurse identify as a manifestation of hypothermia?

Correct Answer is A

Explanation

A nurse is providing discharge teaching to a female client who has the communicable disease herpes simplex virus II. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

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