A nurse is providing teaching to a client who has type 1 diabetes and is planning to become pregnant. Which of the following information should the nurse include?
"Your baby could be very large if you don't control your blood sugar level."
"Your baby is at an increased risk for having high blood sugar levels after delivery."
"You can expect to decrease your insulin dosage during the second and third trimesters.
"You will have an increased risk for developing ketoacidosis during the first trimester."
The Correct Answer is A
Choice A rationale:
Poorly controlled blood sugar levels can lead to fetal overgrowth (macrosomia), which increases the risk of a large baby during delivery.
Choice B rationale:
High blood sugar levels after delivery are not specific to babies born to mothers with type 1 diabetes.
Choice C rationale:
Insulin dosage requirements often increase during the second and third trimesters due to insulin resistance, not decrease.
Choice D rationale:
The risk of ketoacidosis is not typically increased in the first trimester; rather, the focus is on controlling blood sugar levels to minimize risks to the developing fetus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Deep breathing exercises can be a relaxation technique, but they don't directly address cognitive reframing.
Choice B rationale:
Using a journal to write down thoughts related to gambling can be useful for self-reflection, but it's not specifically a cognitive reframing technique.
Choice C rationale:
Rewarding oneself for not going to the casino can be part of a behavioral approach to managing gambling disorder, but it's not a cognitive reframing technique.
Choice D rationale:
Cognitive reframing involves identifying and replacing negative or distorted thoughts with positive and more rational thoughts. In the context of gambling disorder, this technique can help the client challenge and change the cognitive patterns that contribute to their gambling behavior.
Correct Answer is D
Explanation
Choice A rationale:
Aspirin might increase the risk of bleeding, which is a concern during chemotherapy.
Choice B rationale:
Fiber intake should be increased to prevent constipation caused by chemotherapy.
Choice C rationale:
Applying heat to bruised areas might increase bleeding risk.
Choice D rationale:
Chemotherapy can lead to constipation, so taking a stool softenercan help prevent this side effect.
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