A nurse is conducting a program for pregnant women with gestational diabetes about reducing complications. The nurse determines that the teaching was successful when the group identifies which factor as being most important in helping to reduce complications associated with pregnancy and diabetes?

stability of the woman's emotional and psychological status

reduction in retinopathy risk by frequent ophthalmologic evaluations

control of blood urea nitrogen (BUN) levels for optimal kidney function

degree of blood glucose control achieved during the pregnancy

Answer and Explanation

The Correct Answer is D

A. Stability of the woman's emotional and psychological status:

Emotional and psychological well-being are undoubtedly important factors in pregnancy outcomes. However, in the context of gestational diabetes, while stress and psychological factors can influence overall health, including blood sugar levels, they are not the primary focus when discussing reducing complications associated with diabetes during pregnancy. While managing stress and promoting emotional stability are important aspects of prenatal care, they are not directly related to reducing complications specifically associated with gestational diabetes.

B. Reduction in retinopathy risk by frequent ophthalmologic evaluations:

Diabetic retinopathy is a complication of diabetes that affects the eyes and can lead to vision impairment or blindness if left untreated. While regular ophthalmologic evaluations are crucial for individuals with diabetes to monitor for retinopathy and other eye complications, this factor is not the most important in reducing complications associated with pregnancy and diabetes. Gestational diabetes primarily affects pregnancy outcomes, and while retinopathy risk is a concern in the long term for individuals with diabetes, it is not the primary focus during pregnancy.

C. Control of blood urea nitrogen (BUN) levels for optimal kidney function:

Blood urea nitrogen (BUN) levels are markers of kidney function, and kidney complications can be a concern in individuals with diabetes, including gestational diabetes. However, during pregnancy, the focus is primarily on controlling blood glucose levels to reduce complications associated with gestational diabetes. While kidney function is important and should be monitored in pregnant women with gestational diabetes, it is not the most crucial factor in reducing complications specifically related to pregnancy and diabetes.

D. Degree of blood glucose control achieved during the pregnancy:

This is the most important factor in reducing complications associated with pregnancy and gestational diabetes. Controlling blood glucose levels is paramount in managing gestational diabetes to reduce the risk of complications for both the mother and the baby. Tight glycemic control helps to minimize the risk of adverse outcomes such as macrosomia, birth trauma, preterm birth, and other complications associated with uncontrolled blood sugar levels during pregnancy.

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Correct Answer is C

Explanation

A. Burning - This method involves using heat or a cautery device to burn away abnormal tissue. It is typically referred to as electrocautery or thermal ablation. While burning is a method used in some procedures, such as electrocautery for removing warts or lesions, it is not the technique used in cryosurgery.

B. Irradiating - This term refers to the use of radiation therapy to treat cancer or abnormal tissue growth. In irradiation, high-energy radiation beams are directed at the target area to destroy abnormal cells. It is not the method used in cryosurgery.

C. Freezing - Cryosurgery involves freezing the abnormal tissue using extremely cold temperatures, typically with the application of liquid nitrogen or another cryogen. The freezing process causes cellular destruction, leading to the removal of the abnormal tissue. Cryosurgery is commonly used in dermatology, gynecology, and other medical specialties for various conditions.

D. Cutting - Cutting involves physically removing tissue using surgical instruments such as scalpels or scissors. While cutting may be involved in some procedures to remove abnormal tissue, such as excisional biopsies, cryosurgery specifically does not involve cutting. Instead, it relies on freezing to destroy and remove the targeted tissue.

A. bleeding after intercourse B. vaginal discharge C. irregular, acyclic bleeding D. bleeding between menses

Correct Answer is A

Explanation

A. Bleeding after intercourse

Endometrial polyps can cause bleeding after intercourse (postcoital bleeding) due to irritation or trauma to the polyps during sexual activity. This symptom occurs because the polyps protrude into the uterine cavity and are easily disturbed by movement or contact.

B. Vaginal discharge

While vaginal discharge can be a symptom of various gynecological conditions, it is not typically associated specifically with endometrial polyps. Instead, other conditions like bacterial vaginosis or vaginal infections are more commonly linked to vaginal discharge.

C. Irregular, acyclic bleeding

Endometrial polyps can cause irregular, acyclic bleeding, but this symptom is less specific compared to bleeding after intercourse. Irregular bleeding can occur due to hormonal changes, uterine fibroids, or other gynecological conditions as well.

D. Bleeding between menses

Bleeding between menstrual periods (intermenstrual bleeding) can occur with endometrial polyps, but it is not as specific a manifestation as bleeding after intercourse. Intermenstrual bleeding can also be caused by hormonal imbalances, cervical or uterine infections, or other underlying conditions.

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A nurse is conducting a program for pregnant women with gestational diabetes about reducing complications. The nurse determines that the teaching was successful when the group identifies which factor as being most important in helping to reduce complications associated with pregnancy and diabetes?

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Naxlex Comprehensive Predictor Exams

A client is scheduled for cryosurgery to remove some abnormal tissue on the cervix. The nurse teaches the client about this treatment, explaining that the tissue will be removed by which method?

Correct Answer is C

Explanation

A nurse is assessing a female client and suspects that the client may have endometrial polyps based on which clinical manifestation?

Correct Answer is A

Explanation

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