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?

"I need to stay on the diabetic diet."

"I need to be aware of any infections and report signs of infection immediately to my primary health care provider (PHCP)."

"I would avoid exercise because of the negative effects on insulin production."

"I need to perform glucose monitoring at home."

Answer and Explanation

The Correct Answer is C

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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Correct Answer is D

Explanation

A. 3+ protein in the urine: Severe proteinuria (≥2+ on dipstick) is a diagnostic criterion for preeclampsia. The presence of 3+ proteinuria is consistent with preeclampsia.

B. 1+ pitting sacral edema: Edema is common in preeclampsia, especially in dependent areas like the hands, face, and sacral region. This is not inconsistent with preeclampsia.

C. Blood pressure 148/98 mm Hg: Preeclampsia is defined as blood pressure ≥140/90 mm Hg after 20 weeks of gestation, with proteinuria or other signs of organ dysfunction. A BP of 148/98 mm Hg is consistent with preeclampsia.

D. Deep tendon reflexes of +1: Hyperreflexia (+3 or +4 reflexes) is a common finding in preeclampsia due to neuromuscular irritability. A +1 reflex response indicates diminished reflexes, which is not characteristic of preeclampsia.

A. "It is useful for estimating fetal age." B. "This will determine if there is more than one fetus." C. "This is a screening tool for spina bifida." D. "It assists in identifying the location of the placenta and fetus."

Correct Answer is D

Explanation

A. "It is useful for estimating fetal age." While ultrasound can estimate fetal age, the primary purpose before amniocentesis is to guide needle placement.

B. "This will determine if there is more than one fetus." Although ultrasound can detect multiple pregnancies, this is not its main function before amniocentesis.

C. "This is a screening tool for spina bifida." Ultrasound can assist in detecting neural tube defects, but amniocentesis is primarily used for genetic testing.

D. "It assists in identifying the location of the placenta and fetus."Ultrasound helps determine the safest location for needle insertion to avoid injuring the fetus or placenta.

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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?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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?

Correct Answer is D

Explanation

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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?

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?