You are counseling a client who was just diagnosed at 29 weeks gestational age of having gestational diabetes (GDM) after completing her 3 hour glucose tolerance test. Which statement regarding GDM by the client is false and indicates additional Counseling is required?

I need to start an American Diabetic Association (ADA) diet“

l am at higher risk for a cesarean section delivery

I am worried about getting diabetes later in life!

"My baby is more at risk for cardiac defects”

Answer and Explanation

The Correct Answer is D

While gestational diabetes (GDM) can increase the risk of certain complications for the baby, such as macrosomia (large baby) and hypoglycemia after birth, there is no known increased risk for cardiac defects specifically. The other statements are accurate and appropriate for a client newly diagnosed with GDM.

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Correct Answer is C

Explanation

The nurse recognizes that a nonstress test (NST) in which two or more fetal heart rate (FHR) accelerations of 15 beats/min or more occur with fetal movement in a 20-minute period is considered reactive. A reactive NST is a reassuring sign of fetal well-being and indicates that the fetal nervous system and cardiovascular system are intact and functioning appropriately. If a reactive NST is not obtained, further testing or evaluation may be necessary to assess fetal well-being.

A. Reduce maternal and fetal tachycardia associated with terbutaline administration. B. Suppress uterine contractions. C. Stimulate fetal surfactant production. D. Maintain adequate maternal respiratory effort and ventilation during magnesium sulfate therapy.

Correct Answer is C

Explanation

Betamethasone is a corticosteroid that enhances fetal lung maturity, which can help reduce the risk of respiratory distress syndrome and other complications in preterm infants. It does not reduce maternal and fetal tachycardia associated with terbutaline administration, suppress uterine contractions, or maintain maternal respiratory effort and ventilation during magnesium sulfate therapy.

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You are counseling a client who was just diagnosed at 29 weeks gestational age of having gestational diabetes (GDM) after completing her 3 hour glucose tolerance test. Which statement regarding GDM by the client is false and indicates additional Counseling is required?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse recognizes that a nonstress test (NST) in which two or more fetal heart rate (FHR) accelerations of 15 beats/min or more occur with fetal movement in a 20-minute period is:

Correct Answer is C

Explanation

A woman in preterm labor at 30 weeks of gestation receives two 12 mg doses of betamethasone (Celestane) intramuscularly. The purpose of this pharmacologic treatment is to:

Correct Answer is C

Explanation

For clinical purposes, the most accurate definition of preterm and post-term infants is defined as what?

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Readiness for induction of labor is assessed by determining the:

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Which client is displaying health literacy at the basic functional level?

Which of the following women is the best candidate for vaginal birth after cesarean (VBAC)?

Which of the following methods would be best if the nurse wanted to study the complex relationships among factors that contribute to chronic disease?