A nurse is reviewing the medical record of a client who is receiving treatment for gestational diabetes mellitus. Which of the following medications should the nurse expect to administer?

Levothyroxine

Glyburide

C. Nifedipine

Chlorpromazine

Answer and Explanation

The Correct Answer is B

Glyburide is an oral hypoglycemic medication used to control blood glucose levels in individuals with type 2 diabetes. It is also used in the management of gestational diabetes mellitus (GDM) when dietary and lifestyle interventions alone are not sufficient to control blood glucose levels. Glyburide works by stimulating the pancreas to release insulin and also by increasing the sensitivity of peripheral tissues to insulin. It is preferred over insulin injections because it is easier to administer and monitor, and it does not pose a risk of hypoglycemia as long as blood glucose levels are closely monitored. In addition, glyburide does not cross the placenta, which minimizes the risk of fetal hypoglycemia. However, some studies have suggested that glyburide may be associated with an increased risk of neonatal hypoglycemia and macrosomia (large birth weight), so careful monitoring of the mother and fetus is required. Other medications such as levothyroxine, nifedipine, and chlorpromazine are not used in the management of gestational diabetes mellitus.

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Correct Answer is B

Explanation

Newborns born to mothers with gestational diabetes mellitus are at risk for hypoglycemia, which is a condition characterized by low blood sugar levels. Jitteriness is a common sign of hypoglycemia in newborns. Other signs of hypoglycemia include poor feeding, lethargy, seizures, and apnea.

Choice A, petechiae, refers to small, pinpoint, red or purple spots on the skin caused by bleeding under the skin. It is not a common manifestation of hypoglycemia. Choice C, increased muscle tone, is not a common manifestation of hypoglycemia and may indicate other conditions such as cerebral palsy. Choice D, abdominal distention, may indicate other conditions such as intestinal obstruction or infection, but is not a common manifestation of hypoglycemia.

Correct Answer is ["3"]

Explanation

Convert the patient’s weight from pounds to kilograms:
- The patient weighs 132 pounds.
- Convert pounds to kilograms by dividing by 2.2:
  132 lbs ÷ 2.2 ≈ 60 kg
Calculate the total dose of gentamicin required:
- The prescribed dosage is 2 mg per kilogram.
- For a patient weighing 60 kg:
  2 mg/kg × 60 kg = 120 mg
Determine the volume to administer:
- The available gentamicin concentration is 40 mg/mL.
- To find the volume needed, divide the total dose by the concentration:
  120 mg ÷ 40 mg/mL = 3 mL

Therefore, the nurse should administer 3 mL of gentamicin.

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A nurse is reviewing the medical record of a client who is receiving treatment for gestational diabetes mellitus. Which of the following medications should the nurse expect to administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a newborn whose mother had gestational diabetes mellitus. The nurse should monitor for which of the following findings as a manifestation of hypoglycemia?

Correct Answer is B

Explanation

Correct Answer is ["3"]

Explanation

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