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 A

Explanation

A. "You must be feeling scared and powerless." This response acknowledges the client’s emotions, promoting therapeutic communication. It allows the client to express her concerns and helps build trust with the nurse.

B. "Everyone worries about her baby when she's in labor." This response minimizes the client’s concerns and does not directly address her specific feelings or situation.

C. "We have a neonatal unit here that's equipped to handle emergencies." While this is factually correct, it does not acknowledge the client's emotional distress, which is important in therapeutic communication.

D. "Your pregnancy is advanced so your baby should be fine." While 32 weeks is a viable gestational age, it is not guaranteed that the baby will be fine. This response provides false reassurance.

A. No displacement of the gravid uterus is necessary during CPR on a pregnant woman. B. Apply pressure on the abdomen above the umbilicus to displace the uterus. C. Tilt the woman's pelvis to the left to relieve pressure on the inferior vena cava. D. Apply pressure directly on the gravid uterus to maintain blood flow to the fetus. E. Correct answer: C

Correct Answer is C

Explanation

A. No displacement of the gravid uterus is necessary during CPR on a pregnant woman. Displacement of the uterus is necessary in a pregnant woman (especially after 20 weeks gestation) to prevent supine hypotension syndrome.

B. Apply pressure on the abdomen above the umbilicus to displace the uterus. Applying pressure above the umbilicus is not an effective method of uterine displacement. The correct technique involves manual displacement to the left or tilting the woman to the left.

C. Tilt the woman's pelvis to the left to relieve pressure on the inferior vena cava. Tilting the uterus to the left helps relieve compression on the inferior vena cava, improving venous return and cardiac output. This is essential during CPR to optimize blood flow to the mother and fetus.

D. Apply pressure directly on the gravid uterus to maintain blood flow to the fetus. Applying direct pressure on the uterus could further compromise circulation rather than improving it.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is in preterm labor at 32 weeks of gestation. The client asks the nurse, "Will my baby be okay?" Which of the following responses should the nurse offer?

Correct Answer is A

Explanation

During CPR on a pregnant woman, what is the correct method for displacing the gravid uterus?

Correct Answer is C

Explanation

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