A nurse is collecting data from a client during their first prenatal visit.
The nurse should identify which of the following findings as a risk factor for gestational diabetes mellitus?

Maternal age of 21 years.

Fasting blood glucose of 72 mg/dL.

Previous newborn weighing 4.8 kg.

Prepregnancy BMI of 23.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Maternal age of 21 years is not considered a significant risk factor for gestational diabetes. Typically, advanced maternal age (35 years or older) is considered a risk factor due to changes in insulin resistance that occur with age.

Choice B rationale

A fasting blood glucose of 72 mg/dL is within the normal range and does not indicate a risk for gestational diabetes. Gestational diabetes is usually diagnosed with fasting blood glucose levels higher than 95 mg/dL.

Choice C rationale

Previous newborn weighing 4.8 kg is a significant risk factor for gestational diabetes. Having a macrosomic (large) baby in a previous pregnancy is linked with an increased risk of developing gestational diabetes in subsequent pregnancies.

Choice D rationale

A prepregnancy BMI of 23 is within the normal range (18.5-24.9) and does not increase the risk of gestational diabetes. Higher BMI levels, particularly above 25, are associated with an increased risk.

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Correct Answer is A

Explanation

Choice A rationale

Respiratory rate of 10/min is a critical adverse effect, indicating potential respiratory depression due to magnesium sulfate, a serious and life-threatening condition requiring immediate intervention.

Choice B rationale

Urine output of 160 mL in 4 hours is lower than expected but not immediately life-threatening. It needs monitoring but is not as critical as respiratory rate.

Choice C rationale

Diaphoresis, or excessive sweating, can be a side effect of magnesium sulfate but is not life-threatening. It warrants attention but does not require immediate reporting.

Choice D rationale

Nausea is a common, less severe side effect of magnesium sulfate that does not indicate an urgent situation.

A. Each feeding should last between 20 and 30 minutes. B. Prepared formula can be stored in the refrigerator for up to 5 days. C. Refrigerate formula from a feeding for up to 4 hours for reuse. D. Wait until the end of the feeding to burp your baby.

Correct Answer is A

Explanation

Choice A rationale

Each feeding should last between 20 and 30 minutes to ensure the baby gets enough nutrition and to facilitate bonding time.

Choice B rationale

Prepared formula should be used within 24 hours if stored in the refrigerator, not 5 days, to prevent bacterial growth and ensure the baby's safety.

Choice C rationale

Formula left at room temperature should not be refrigerated for reuse; it can develop bacteria that may harm the baby.

Choice D rationale

It is recommended to burp the baby multiple times during feeding to release swallowed air and prevent discomfort or spitting up.

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A nurse is collecting data from a client during their first prenatal visit.The nurse should identify which of the following findings as a risk factor for gestational diabetes mellitus?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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A nurse is collecting data from a client during their first prenatal visit.
The nurse should identify which of the following findings as a risk factor for gestational diabetes mellitus?