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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Discontinue the medication infusion. Absent deep-tendon reflexes and respiratory depression (RR <12/min) indicate magnesium toxicity. Magnesium sulfate should be discontinued immediately to prevent further complications, including respiratory and cardiac arrest.
B. Prepare for an emergency cesarean birth. Magnesium toxicity does not necessitate an emergency cesarean birth. The priority is to discontinue magnesium sulfate and administer calcium gluconate as an antidote.
C. Place the client in Trendelenburg position. Trendelenburg position does not address magnesium toxicity and could further compromise respiratory function.
D. Assess maternal blood glucose. Magnesium sulfate does not directly affect blood glucose. Assessing blood glucose is not the priority action in this situation.
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.
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.