What is a potential challenge for vegetarians on a gestational diabetic diet in pregnancy?

Excessive carbohydrate intake

Difficulty managing blood sugar levels

Limited protein sources

Lack of essential vitamins and minerals

Answer and Explanation

The Correct Answer is A

A. Excessive carbohydrate intake: Many vegetarian protein sources (e.g., legumes, whole grains, fruits) are also high in carbohydrates, making blood sugar control more challenging for clients with gestational diabetes.

B. Difficulty managing blood sugar levels: While managing blood sugar can be a challenge, the root cause is often excessive carbohydrate intake rather than inherent difficulty in regulation.

C. Limited protein sources: While vegetarian diets limit animal protein, many plant-based protein sources (e.g., tofu, lentils, nuts) are available, making this less of a concern.

D. Lack of essential vitamins and minerals: A well-balanced vegetarian diet can provide all essential nutrients with proper planning. However, vegetarians should monitor vitamin B12, iron, and omega-3 intake, but this is not the biggest challenge specific to gestational diabetes.

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Correct Answer is ["A","B","D","E"]

Explanation

A. Anomalies in fetal chromosomes: Amniocentesis can diagnose chromosomal disorders such as Down syndrome, trisomy 18, and trisomy 13.

B. Neural tube defects: Amniocentesis measures alpha-fetoprotein (AFP) levels, which can indicate neural tube defects like spina bifida or anencephaly.

C. Cephalopelvic disproportion: Cephalopelvic disproportion (CPD) refers to a mismatch between fetal head size and maternal pelvis, which is assessed via ultrasound or clinical examination, not amniocentesis.

D. Fetal gender: Amniocentesis can determine fetal gender by analyzing fetal DNA, which is helpful in diagnosing sex-linked genetic disorders (e.g., hemophilia, Duchenne muscular dystrophy).

E. Rh incompatibility: Amniocentesis can assess bilirubin levels in amniotic fluid to determine the severity of hemolytic disease in Rh-incompatible pregnancies.

A. Provide a dark, quiet environment. B. Administer magnesium sulfate IV. C. Ensure that calcium gluconate is readily available. D. Assess respiratory status every 4 hr. E. Evaluate neurologic status every 8 hr.

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

Explanation

A. Provide a dark, quiet environment. Clients with severe gestational hypertension are at risk for seizures (eclampsia). A dark, quiet environment helps reduce stimuli that can trigger seizures.

B. Administer magnesium sulfate IV. Magnesium sulfate is the drug of choice to prevent seizures in clients with severe gestational hypertension or preeclampsia.

C. Ensure that calcium gluconate is readily available. Calcium gluconate is the antidote for magnesium sulfate toxicity and should always be available when administering magnesium sulfate.

D. Assess respiratory status every 4 hr. Respiratory status should be assessed more frequently (at least every hour) when administering magnesium sulfate, as respiratory depression is a sign of toxicity.

E. Evaluate neurologic status every 8 hr. Neurologic status should be evaluated at least every 1-2 hours, as changes (e.g., confusion, headaches, hyperreflexia) can indicate worsening preeclampsia or impending seizure activity.

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What is a potential challenge for vegetarians on a gestational diabetic diet in pregnancy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is at 15 weeks of gestation and is to undergo an amniocentesis. The nurse should explain that the purpose of this test is to identify which of the following conditions? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

A nurse is admitting a client who is at 37 weeks of gestation and has severe gestational hypertension. Which of the following actions should the nurse expect to implement? (Select all that apply.)

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

Explanation

A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise. The nurse should anticipate a prescription from the provider for which of the following medications for the client?

The home care nurse visits a pregnant client who has a diagnosis of mild preeclampsia. Which assessment finding indicates a worsening of the preeclampsia and the need to notify the primary health care provider (PHCP)?

What is the recommended antibiotic therapy for the treatment of pyelonephritis in pregnancy?

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?

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 a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?