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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. To stimulate uterine contractions: Terbutaline is a tocolytic (a medication that relaxes the uterus), not a uterotonic. It is not used to stimulate contractions.
B. To improve placental blood flow: Terbutaline relaxes uterine muscles, decreasing contraction frequency and intensity, thereby improving placental blood flow. It is often used in intrauterine resuscitation when there is uteroplacental insufficiency and fetal distress due to excessive contractions (tachysystole).
C. To decrease fetal heart rate variability: Terbutaline does not directly affect fetal heart rate variability. It is used to reduce uterine contractions, which can secondarily improve fetal oxygenation.
D. To prevent preterm labor: While terbutaline can be used to delay preterm labor, in this context, it is being used for intrauterine resuscitation, not for preventing labor.
Correct Answer is D
Explanation
A. Number of previous pregnancies: While previous pregnancies can influence labor speed (multiparous clients often progress faster), it is not the most critical factor in assessing labor progression.
B. Maternal age: Advanced maternal age may increase labor complications, but it does not directly determine labor progression.
C. Gestational weight gain: Excessive weight gain can impact fetal size, but it is not the primary factor affecting labor progression.
D. Fetal size: Fetal size plays a significant role in labor progression. A large fetus may cause cephalopelvic disproportion (CPD), leading to slow or arrested labor, whereas a smaller fetus may allow for quicker labor progression.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.