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 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.
Which finding would lead the nurse to suspect toxic shock syndrome related to tampon use?
- A. Diffuse rash with fever.
- B. Angina.
- C. Hypertension.
- D. Thrombocytopenia with pallor.
Correct Answer: A
Rationale: Toxic shock syndrome often presents with a diffuse rash and fever.
Individuals 35 years or older at conception have an increased risk of what complication?
- A. low birth weight
- B. hypoglycemia
- C. neural tube defects
- D. chromosomal abnormalities
Correct Answer: D
Rationale:
What action is important for a woman using the contraceptive sponge to maximize its effectiveness?
- A. Insert the sponge at least one hour before intercourse.
- B. Thoroughly moisten the sponge with water before inserting.
- C. Spermicidal jelly must be inserted at the same time the sponge is inserted.
- D. A new sponge must be inserted every time a couple has intercourse.
Correct Answer: B
Rationale: Moistening the sponge ensures proper activation of the spermicide.
A newborn's birth was prolonged because the shoulders were very wide. The nurse performing the assessment would be particularly observant for a problem with the:
- A. Moro reflex
- B. Plantar reflex
- C. Babinski reflex
- D. Stepping reflex
Correct Answer: B
Rationale: Shoulder dystocia can affect the plantar reflex.