Nokea
The nurse is educating a client with gestational diabetes about blood sugar monitoring. What statement indicates understanding?
- A. I will check my blood sugar once a week.
- B. I should avoid all carbohydrates.
- C. I will monitor my blood sugar four times a day as prescribed.
- D. I can skip insulin on days I feel well.
Correct Answer: C
Rationale: Frequent monitoring of blood sugar is essential for managing gestational diabetes effectively.
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What serum laboratory reports would the nurse expect in a bulimic client?
- A. Potassium 3.0 mEq/L.
- B. Bicarbonate 30 mmol/L.
- C. Platelet count 450,000 cells/mm3.
- D. Hemoglobin A1C 9%.
Correct Answer: A
Rationale: Low potassium levels result from vomiting and purging.
A client at 20 weeks' gestation is undergoing a routine ultrasound. What is the primary focus of this examination?
- A. Confirm the baby's sex.
- B. Evaluate fetal anatomy and growth.
- C. Assess maternal cervical length.
- D. Check for signs of preterm labor.
Correct Answer: B
Rationale: The 20-week ultrasound focuses on assessing fetal anatomy, growth, and structural development.
The nurse is teaching a prenatal class about signs of labor. Which statement indicates the need for further teaching?
- A. True labor contractions increase in intensity and regularity.
- B. The baby dropping is a sign of true labor.
- C. False labor contractions often stop with activity.
- D. True labor results in cervical changes.
Correct Answer: B
Rationale: Lightening, or baby dropping, occurs weeks before labor and is not a sign of true labor.
The nurse is administering a number of therapeutic interventions for neonates, infants, and children on the pediatric unit. Which intervention contributes to an increase in chronic illness seen in early childhood?
- A. Administering antibiotics to prevent lethal infections
- B. Vaccinating children to prevent childhood diseases
- C. Using mechanical ventilation for premature infants
- D. Using corticosteroids as a treatment for asthma
Correct Answer: C
Rationale: Using mechanical ventilation and medications to foster lung development in premature infants increases their survival rate. Yet the infants who survive are often faced with myriad chronic illnesses.
What should be included in teaching a client undergoing a bilateral tubal ligation?
- A. The surgical procedure is easily reversible.
- B. Menstruation usually ceases after the procedure.
- C. Libido should remain the same after the procedure.
- D. The incision will be made endocervically.
Correct Answer: C
Rationale: Tubal ligation does not affect libido.