A nurse is caring for a client who is pregnant.
Medical History 1100:
Gravida 4 Para 3
32 weeks of gestation BMI 32
History of two newborns weighing over 4.5 kg (10 lb) Family history of type one diabetes mellitus (maternal) Fetal heart tones 140/min via doppler
Which of the following provider prescriptions should the nurse plan to implement? Select the 3 actions the nurse should plan to take.
Encourage the client to limit carbohydrate intake to 40% of their daily calories.
Instruct the client to check a random blood glucose level once daily.
Anticipate a prescription for metformin.
Conduct a non-stress test twice per week.
Correct Answer : A,C,D
A.The client should limit carbohydrate intake to reduce the risk of gestational diabetes and its complications both in the mother and the fetus.
Glucose monitoring should be done 4 times daily.
C. Metformin is commonly prescribed to manage glucose levels in pregnant individuals with GDM.
D. The client's history of macrosomic newborns and family history of type 1 diabetes mellitus indicate an increased risk for complications such as fetal macrosomia and fetal distress. Nonstress tests are used to assess fetal well-being by monitoring fetal heart rate patterns.
E. With a BMI of 32 and a history of macrosomic newborns, the client is at an increased risk for developing gestational diabetes mellitus (GDM). Regular exercise is important in managing blood glucose levels and reducing the risk of GDM.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This response does not respect the client's autonomy and right to confidentiality.
B. This response acknowledges the client's feelings and opens up the opportunity for further discussion.
C. While it's important for parents to be informed about their child's health condition, especially if the adolescent is a minor, this response may escalate the client's anxiety and fear about disclosing their infection to their parents.
D. This response minimizes the client's concerns and may not accurately reflect the complexity of their situation.
Correct Answer is A
Explanation
A. Placental insufficiency can lead to inadequate nutrient and oxygen delivery to the fetus, resulting in intrauterine growth restriction (IUGR) and SGA.
B. Perinatal asphyxia refers to oxygen deprivation around the time of birth, can lead to various complications, including neurological damage, but it is not a direct cause of SGA.
C. While preterm delivery can lead to low birth weight and small size at birth, it is not a direct cause of SGA.
D. Fetal hyperinsulinemia, which occurs when the fetus produces excess insulin, can lead to macrosomia (large birth weight) rather than SGA.
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.