A nurse is teaching a client at 24 weeks of gestation about special considerations of gestational diabetes mellitus (GDM). Which of the following statements by the client indicates that the teaching was effective? (Select all that apply)
I am at increased risk of preterm labor.
I am at risk of developing type 2 diabetes mellitus.
I will need to undergo intensive fetal monitoring.
I will need to have a cesarean section.
I am at risk of postpartum hemorrhage.
Correct Answer : A,B,C,E
Choice A rationale
Gestational diabetes mellitus increases the risk of preterm labor due to potential complications such as polyhydramnios and preeclampsia.
Choice B rationale
Clients with gestational diabetes have a higher risk of developing type 2 diabetes mellitus later in life due to glucose intolerance.
Choice C rationale
Intensive fetal monitoring is necessary to detect potential complications such as macrosomia, hypoglycemia, and fetal distress in GDM clients.
Choice D rationale
Having a cesarean section is not a requirement for all clients with GDM, as vaginal delivery is possible with well-controlled glucose levels.
Choice E rationale
Clients with GDM are at risk of postpartum hemorrhage due to uterine overdistention from macrosomia or polyhydramnios.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Breastfeeding a newborn 6-8 times a day is insufficient. Newborns typically need more frequent feedings to ensure adequate nutrition and growth, generally more than 8 times.
Choice B rationale
Newborns should be breastfed 8-12 times in a 24-hour period. This frequent feeding ensures they receive enough nutrients, helps establish milk supply, and supports healthy growth.
Choice C rationale
Feeding 10-14 times a day can be appropriate for some newborns but may not be necessary for all. The standard recommendation is 8-12 times, balancing nourishment and mother's comfort.
Choice D rationale
Breastfeeding 12-16 times a day is excessive and may cause maternal fatigue and discomfort. The general guideline of 8-12 times is sufficient to meet a newborn's nutritional needs.
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale:
The temperature of 36.7°C (98.1°F) is within the normal range for newborns (36.5-37.5°C). Therefore, it does not require immediate follow-up.
Choice B rationale:
The respiratory rate of 74/min exceeds the normal range for newborns (30-60 breaths/min), indicating potential respiratory distress. Immediate follow-up is crucial to prevent respiratory failure.
Choice C rationale:
The heart rate of 170/min is above the normal range for newborns (120-160 beats/min). Tachycardia can indicate stress, infection, or other underlying conditions that need prompt evaluation.
Choice D rationale:
Work of breathing includes signs such as retractions, nasal flaring, and grunting, which indicate respiratory distress. These signs require immediate follow-up to address any potential respiratory complications.
Choice E
rationale: Blood glucose level is not mentioned in the question or exhibits. Without information on blood glucose, it is not possible to determine if it requires immediate follow-up.
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