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Which of the following is a potential complication of gestational diabetes?
- A. Hyperglycemia
- B. Hypoglycemia
- C. Polyhydramnios
- D. Hypertension
Correct Answer: C
Rationale: The correct answer is C: Polyhydramnios. Gestational diabetes can lead to increased fetal growth and higher amniotic fluid levels, causing polyhydramnios. This can lead to complications during delivery.
Incorrect choices:
A: Hyperglycemia is a symptom of gestational diabetes, not a complication.
B: Hypoglycemia is not a common complication of gestational diabetes.
D: Hypertension is not directly linked to gestational diabetes complications.
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A nurse is performing a routine assessment on a client who is at 18 weeks of gestation. Which of the following findings should the nurse expect?
- A. Deep tendon reflexes 4+.
- B. Fundal height 14 cm.
- C. Blood pressure 142/94 mm Hg.
- D. FHR 152/min.
Correct Answer: D
Rationale: A fetal heart rate (FHR) of 152/min is within the normal range of 110 to 160 beats per minute for a fetus at 18 weeks of gestation.
A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report to the provider?
- A. Substernal retractions
- B. Acrocyanosis
- C. Overlapping suture lines
- D. Head circumference 33 cm (13 in)
Correct Answer: A
Rationale: The correct answer is A: Substernal retractions. Substernal retractions in a newborn indicate respiratory distress and can be a sign of underlying respiratory issues such as respiratory distress syndrome. The nurse should report this finding to the provider immediately for further evaluation and intervention to ensure the newborn's respiratory status is stable. Acrocyanosis (choice B) is a common finding in newborns and is not typically concerning. Overlapping suture lines (choice C) can be a normal variation in newborn skull anatomy. The head circumference of 33 cm (13 in) (choice D) is within the normal range for a newborn and would not require immediate reporting.
A nurse is assessing a newborn who is 16 hr old. Which of the following findings should the nurse report to the provider?
- A. Substernal retractions
- B. Acrocyanosis
- C. Overlapping suture lines
- D. Head circumference 33 cm (13 in)
Correct Answer: A
Rationale: Substernal retractions are a sign of respiratory distress in newborns and require immediate medical attention to ensure proper oxygenation.
Which of the following is a potential complication of a multiple gestation pregnancy?
- A. Preterm labor
- B. Gestational diabetes
- C. Placenta previa
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D: All of the above. Multiple gestation pregnancies are at higher risk for complications like preterm labor, as the uterus may become over-distended leading to early contractions. Gestational diabetes is also common due to the increased demands on the mother's body. Additionally, placenta previa can occur due to the abnormal implantation of the placenta in a multiple gestation pregnancy. Therefore, all of these complications are potential risks in a multiple gestation pregnancy. Other choices are incorrect as they do not encompass the range of complications associated with multiple gestation pregnancies.
A nurse is admitting a client who is 1 week postpartum and reports excessive vaginal bleeding. The nurse speaks a different language than the client. The client's partner and 10-year-old child are accompanying her. Which of the following actions should the nurse take to gather the client's admission data?
- A. Have the client's child translate.
- B. Ask a nursing student who speaks the same language as the client to translate.
- C. Request a female interpreter through the facility
- D. Allow the client's partner to translate.
Correct Answer: C
Rationale: Requesting a female interpreter through the facility ensures accurate and professional communication, respecting the client's privacy and cultural preferences. Using a child or partner to translate is inappropriate and may lead to misunderstandings.