A pregnant female patient presented with complaints of incontinence, polydipsia, and polyphagia. The patient had a 2-week-old, non-healing wound that became infected. An A1C test showed 8.5% of blood glucose attached to hemoglobin. The wound was cleaned and dressing was applied.
Which condition is indicated by the description?
Gestational thrombocytopenia
Gestational diabetes mellitus
Gestational hypertension
Hyperemesis gravidarum
The Correct Answer is B
A. Gestational thrombocytopenia:
Gestational thrombocytopenia involves low platelet counts during pregnancy. Symptoms: Easy bruising or bleeding- not polydipsia, polyphagia, or poor wound healing. No relationship to elevated blood glucose.
B. Gestational diabetes mellitus: Gestational diabetes is high blood sugar that develops during pregnancy. Classic signs: polydipsia, polyphagia and polyuria. Non-healing wounds and infection risk due to impaired immunity and circulation. A1C of 8.5% clearly indicates poor glycemic control.
C. Gestational hypertension: High blood pressure during pregnancy. Symptoms: Headache, visual changes, swelling, not polydipsia, polyphagia, or infection.
D. Hyperemesis gravidarum: This causes severe nausea and vomiting during pregnancy leading to dehydration, electrolyte imbalances, and weight loss, but not high glucose or wound issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Seizures and dilated (fixed) pupils:
These findings suggest severe neurological injury, such as brain herniation, not a TIA.
B. Double-vision and disorientation:
TIA often presents with neurological deficits like visual disturbances (double vision), disorientation, weakness, and slurred speech, which resolve within 24 hours.
C. Tinnitus and Diarrhea:
These symptoms are not typical for TIA; tinnitus relates to ear problems, and diarrhea relates to GI issues.
D. Clear speech and 2+ deep tendon reflex response:
Correct Answer is B
Explanation
A. The kidney and a portion of the bladder:
This removal describes procedures like radical cystectomy, not simple nephrectomy.
B. The kidney in its entirety:
A simple nephrectomy involves removing only the kidney (not adrenal gland, bladder, or lymph nodes).
C. Cancer within the kidney and some tissue around the cancer:
This describes a partial nephrectomy.
D. The kidney, the adrenal gland, and some surrounding tissue:
This describes a radical nephrectomy, not a simple nephrectomy.
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