During a prenatal visit, the nurse is explaining dietary management to a woman diagnosed with pre-gestational diabetes. Which statement by the client reassures the nurse that teaching has been effective?

"I will need to eat 600 more calories per day because I am pregnant."

“I will plan my diet based on the results of urine glucose testing."

“I can continue with the same diet as before pregnancy as long as it is well balanced."

"Diet and insulin needs change during pregnancy."

Answer and Explanation

The Correct Answer is D

A. "I will need to eat 600 more calories per day because I am pregnant." Pregnant clients with diabetes require careful calorie management. The recommended increase is about 300 kcal/day, not 600, to support fetal growth while maintaining glycemic control.

B. "I will plan my diet based on the results of urine glucose testing." Urine glucose testing is not a reliable indicator of blood glucose control because it does not reflect real-time fluctuations. Clients should base dietary adjustments on blood glucose monitoring.

C. "I can continue with the same diet as before pregnancy as long as it is well balanced." Pregnancy alters insulin needs, requiring dietary modifications to maintain blood glucose control. Carbohydrate intake must be carefully regulated to prevent hyperglycemia.

D. "Diet and insulin needs change during pregnancy." Hormonal changes in pregnancy increase insulin resistance, necessitating adjustments in diet and insulin therapy to maintain optimal blood glucose levels.

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Correct Answer is A

Explanation

A. "You must be feeling scared and powerless." This response acknowledges the client’s emotions, promoting therapeutic communication. It allows the client to express her concerns and helps build trust with the nurse.

B. "Everyone worries about her baby when she's in labor." This response minimizes the client’s concerns and does not directly address her specific feelings or situation.

C. "We have a neonatal unit here that's equipped to handle emergencies." While this is factually correct, it does not acknowledge the client's emotional distress, which is important in therapeutic communication.

D. "Your pregnancy is advanced so your baby should be fine." While 32 weeks is a viable gestational age, it is not guaranteed that the baby will be fine. This response provides false reassurance.

A. Provide a dark, quiet environment. B. Administer magnesium sulfate IV. C. Ensure that calcium gluconate is readily available. D. Assess respiratory status every 4 hr. E. Evaluate neurologic status every 8 hr.

Correct Answer is ["A","B","C"]

Explanation

A. Provide a dark, quiet environment. Clients with severe gestational hypertension are at risk for seizures (eclampsia). A dark, quiet environment helps reduce stimuli that can trigger seizures.

B. Administer magnesium sulfate IV. Magnesium sulfate is the drug of choice to prevent seizures in clients with severe gestational hypertension or preeclampsia.

C. Ensure that calcium gluconate is readily available. Calcium gluconate is the antidote for magnesium sulfate toxicity and should always be available when administering magnesium sulfate.

D. Assess respiratory status every 4 hr. Respiratory status should be assessed more frequently (at least every hour) when administering magnesium sulfate, as respiratory depression is a sign of toxicity.

E. Evaluate neurologic status every 8 hr. Neurologic status should be evaluated at least every 1-2 hours, as changes (e.g., confusion, headaches, hyperreflexia) can indicate worsening preeclampsia or impending seizure activity.

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During a prenatal visit, the nurse is explaining dietary management to a woman diagnosed with pre-gestational diabetes. Which statement by the client reassures the nurse that teaching has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is in preterm labor at 32 weeks of gestation. The client asks the nurse, "Will my baby be okay?" Which of the following responses should the nurse offer?

Correct Answer is A

Explanation

A nurse is admitting a client who is at 37 weeks of gestation and has severe gestational hypertension. Which of the following actions should the nurse expect to implement? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

A nurse in a clinic is reviewing the medical records of a group of clients who are pregnant. The nurse should anticipate the provider will order a maternal serum alpha-fetoprotein (MSAFP) screening for which of the following clients?

A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?

During labor, which of the following is a characteristic of early decelerations in fetal heart rate?

A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate IV at 2 g/hr. Which of the following findings indicates that it is safe for the nurse to continue the infusion?

A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise. The nurse should anticipate a prescription from the provider for which of the following medications for the client?

A nurse is caring for several clients. The nurse should recognize that it is safe to administer tocolytic therapy to which of the following clients?

A nurse is assessing a client at 10 weeks of gestation who has been diagnosed with hyperemesis gravidarum. Which of the following manifestations should the nurse expect? (Select all that apply.)

A nurse in a provider's office is caring for a client who is at 36 weeks of gestation and scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the procedure. Which of the following is an appropriate response by the nurse?