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 C

Explanation

A. A client who is experiencing fetal death at 32 weeks of gestation: Tocolytic therapy delays preterm labor to improve fetal outcomes. If fetal death has already occurred, there is no benefit in delaying labor.

B. A client who is experiencing Braxton-Hicks contractions at 36 weeks of gestation: Braxton-Hicks contractions are false labor contractions that do not cause cervical changes. Tocolytics are not needed for false labor.

C. A client who is experiencing preterm labor at 26 weeks of gestation: Tocolytic therapy is appropriate for preterm labor before 34 weeks of gestation, especially in very preterm pregnancies (before 28 weeks) to allow for fetal lung maturation and steroid administration.

D. A client who has a post-term pregnancy at 42 weeks of gestation: Tocolytics are used to delay preterm labor, not to stop contractions in post-term pregnancies. A 42-week pregnancy requires induction of labor, not suppression.

A. "I need to lie flat on my back to perform the procedure." B. “If I count fewer than 10 kicks in a 2-hour period, I would count the kicks again over the next 2 hours." C. "I need to place my hands on the largest part of my abdomen and concentrate on the fetal movements to count the kicks." D. “I will record the number of movements or kicks."

Correct Answer is A

Explanation

A. "I need to lie flat on my back to perform the procedure." Lying flat on the back can cause supine hypotension syndrome due to compression of the inferior vena cava. The client should lie on her left side or sit in a comfortable position to improve placental circulation.

B. “If I count fewer than 10 kicks in a 2-hour period, I would count the kicks again over the next 2 hours." If fewer than 10 movements are felt in 2 hours, the client should rest, eat, and try counting again. If movements remain low, she should contact her provider.

C. "I need to place my hands on the largest part of my abdomen and concentrate on the fetal movements to count the kicks." Placing hands on the abdomen helps the client feel subtle fetal movements.

D. “I will record the number of movements or kicks." Keeping a record of fetal movements helps monitor fetal well-being.

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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 several clients. The nurse should recognize that it is safe to administer tocolytic therapy to which of the following clients?

Correct Answer is C

Explanation

The nurse in a health care clinic is instructing a pregnant client how to perform "kick counts." Which statement by the client indicates a need for further instruction?

Correct Answer is A

Explanation

A nurse is assessing a client at 10 weeks of gestation who has been diagnosed with hyperemesis gravidarum. Which of the following manifestations should the nurse expect? (Select all that apply.)

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?

A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor. The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?

The nurse who is caring for a woman hospitalized for hyperemesis gravidarum would expect the initial treatment to involve what?

A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor. Which of the following findings confirm to the nurse that the client is in labor?

What is considered a reactive nonstress test (NST)?

A nurse receives a report about a client who is in labor and is having contractions 3 min apart. Which of the following patterns should the nurse expect on the fetal monitoring tracing?