Nokea
Which of the following instructions should the nurse give the client?
- A. Maintain scheduled mealtimes for yourself.
- B. Check your blood glucose levels every 8 hours.
- C. Take more insulin with each meal than you did prior to pregnancy.
- D. Limit your carbohydrate intake to 30 grams per day.
Correct Answer: A
Rationale: Maintaining scheduled mealtimes is essential for a postpartum client with type 1 diabetes who is breastfeeding to stabilize blood glucose levels. Checking blood glucose every 8 hours is insufficient; more frequent monitoring is needed. Insulin requirements may decrease postpartum, not increase, and limiting carbohydrates to 30 grams per day is too restrictive for breastfeeding energy needs.
You may also like to solve these questions
The nurse should recognize that which of the following clients is at risk for respiratory alkalosis?
- A. A client who is taking a thiazide diuretic.
- B. A client who is vomiting.
- C. A client who has salicylate intoxication.
- D. A client who has hypoventilation.
Correct Answer: C
Rationale: Salicylate intoxication causes hyperventilation, reducing PaCOâ‚‚ and leading to respiratory alkalosis. Thiazide diuretics and vomiting cause metabolic alkalosis, while hypoventilation leads to respiratory acidosis.
Which of the following findings should the nurse expect?
- A. Temperature 37.4°C (99.3°F).
- B. Uterine tenderness.
- C. WBC Count 9,000/mm.
- D. Scant lochia.
Correct Answer: B
Rationale: Uterine tenderness is a common finding in endometritis due to uterine inflammation or infection. A temperature of 37.4°C is normal, a WBC count of 9,000/mm³ is not elevated as expected in infection, and scant lochia is normal, not indicative of endometritis.
Which of the following actions should the nurse take?
- A. Measure the abdominal circumference at the level of the newborn's umbilicus every 12 hr.
- B. Insert an orogastric decompression tube with low wall suction.
- C. Provide the newborn with an iron-rich formula containing vitamin B12 every 2 hr.
- D. Administer nitric oxide inhalation therapy to the newborn.
Correct Answer: B
Rationale: Inserting an orogastric tube decompresses the gastrointestinal tract, addressing abdominal distention and bloody stools, which suggest a serious condition like necrotizing enterocolitis. Measuring circumference, iron formula, or nitric oxide do not address the acute issue.
Which of the following findings requires intervention by the nurse?
- A. An FHR that peaks 20 beats above the baseline.
- B. Three uterine contractions within a 20-min period.
- C. One acceleration of the FHR within a 20-min period.
- D. Uterine contractions lasting 20 to 30 seconds each.
Correct Answer: C
Rationale: One acceleration in 20 minutes suggests a nonreactive nonstress test, requiring intervention to assess fetal well-being. A 20-beat FHR peak is normal, and mild contractions are not concerning unless painful.
Which of the following manifestations should the nurse expect?
- A. Bright, red vaginal discharge.
- B. Scaphoid abdomen.
- C. Elevated blood pressure.
- D. Sharp pelvic pain.
Correct Answer: D
Rationale: Sharp pelvic pain is a hallmark of ectopic pregnancy due to implantation outside the uterus, often in the fallopian tube. Bright red discharge, scaphoid abdomen, or elevated blood pressure are not typical.