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. Variable decelerations are due to umbilical cord compression. Variable decelerations are characterized by abrupt decreases in FHR, often with a "V" or "U" shape. They are caused by umbilical cord compression, which disrupts fetal oxygenation.

B. Variable decelerations are a result of the administration of IV narcotic analgesics. Narcotic analgesics (e.g., morphine, fentanyl) cause decreased FHR variability and prolonged decelerations, not variable decelerations.

C. Variable decelerations are caused by uteroplacental insufficiency. Uteroplacental insufficiency causes late decelerations, not variable decelerations.

D. Variable decelerations are related to fetal head compression. Fetal head compression causes early decelerations, which are gradual and mirror contractions, unlike variable decelerations.

A. "I need to stay on the diabetic diet." B. "I need to be aware of any infections and report signs of infection immediately to my primary health care provider (PHCP)." C. "I would avoid exercise because of the negative effects on insulin production." D. "I need to perform glucose monitoring at home."

Correct Answer is C

Explanation

A. "I need to stay on the diabetic diet." Dietary management is the first-line treatment for GDM and helps maintain blood glucose levels within the target range.

B. "I need to be aware of any infections and report signs of infection immediately to my primary health care provider (PHCP)." Infections can increase insulin resistance and lead to hyperglycemia. Clients with GDM should monitor for signs of infection (e.g., fever, urinary symptoms) and seek prompt treatment.

C. "I would avoid exercise because of the negative effects on insulin production." Regular exercise improves insulin sensitivity and helps control blood glucose levels. Clients with GDM are encouraged to engage in moderate physical activity unless contraindicated.

D. "I need to perform glucose monitoring at home." Home glucose monitoring is essential for assessing glycemic control and guiding treatment decisions.

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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 the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?

Correct Answer is A

Explanation

The nurse implements a teaching plan for a pregnant client who is newly diagnosed with gestational diabetes mellitus. Which statement made by the client indicates a need for further teaching?

Correct Answer is C

Explanation

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 assessing a client who is receiving magnesium sulfate as a treatment for preeclampsia. Which of the following clinical findings is the nurse's priority?

The nurse in a health care clinic is instructing a pregnant client how to perform "kick counts." Which statement by the client indicates a need for further instruction?

When interpreting fetal heart rate patterns, what other information is considered in addition to baseline and variability?

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?

A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?

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