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”
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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Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
Environmental health is concerned with the impact of environmental factors on human health, including physical, chemical, biological, and social factors. By improving environmental health in a community, we can decrease exposure to environmental hazards and reduce the incidence of environmentally related diseases, resulting in improved health outcomes.
One of the most important outcomes of environmental health interventions is increased life expectancy for the community. By reducing exposure to environmental hazards, such as air pollution, water pollution, and toxic chemicals, we can decrease the incidence of environmentally related diseases, such as respiratory disease, cancer, and neurological disorders. This, in turn, can increase life expectancy and improve the overall health of the community.
Correct Answer is C
Explanation
This is because magnesium sulfate can cause respiratory depression, and a respiratory rate of 10 breaths/minute is significantly lower than the normal range of 12-20 breaths/minute. Other factors such as blood pressure of 138/88, the urinary output of 40 ml/hr, and patellar reflex of +2 should also be monitored, but they would not necessarily warrant immediate discontinuation of the magnesium sulfate infusion.
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