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.

Answer and Explanation

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

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Free Nursing Study Resources

Correct Answer is B

Explanation

The symptoms describe indicate the presence of DVT which is a serious complication associated with childbirth. In addition to advising the client to see her provider immediately, the nurse should suggest interventions such as limb elevate to promote venous return and minimize discomfort.

A. Massaging the affected area can dislodge the blood clot and lead to a pulmonary embolism.

C. Cold compresses may help reduce pain and inflammation, but they do not address the underlying issue of a potential DVT.
D. Flexing the knee while resting can help improve blood flow in the affected leg and prevent stagnation but does not address the issue.

A. Encourage the client to limit carbohydrate intake to 40% of their daily calories. B. Instruct the client to check a random blood glucose level once daily. C. Anticipate a prescription for metformin. D. Conduct a non-stress test twice per week.

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

Explanation

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.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 7 days postpartum and calls the clinic to report pain and redness of her left calf. Besides seeing her provider, which of the following interventions should the nurse suggest?

Correct Answer is B

Explanation

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

Explanation

A nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station. Which of the following is the correct interpretation of this clinical finding?

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