Screening at 24 weeks of gestation reveals that a pregnant woman has gestational diabetes mellitus (GDM)
In planning her care, the nurse and the woman mutually agree that an expected outcome is to prevent injury to the fetus as a result of GDM. The nurse identifies that the fetus is at greatest risk for:
a. Macrosomia.
b. Congenital anomalies of the central nervous system.
c. Preterm birth.
d. Low birth weight.
ANS: A
Poor glycemic control later in pregnancy increases the rate of fetal macrosomia. Poor glycemic control during the preconception time frame and into the early weeks of the pregnancy is associated with congenital anomalies. Preterm labor or birth is more likely to occur with severe diabetes and is the greatest risk in women with pregestational diabetes. Increased weight, or macrosomia, is the greatest risk factor for this woman.
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An elderly client is dying in the hospital and has had few visitors because he is estranged from his children
While the nurse is providing his morning hygiene, the client states, "If I had it to do all over again, I'd do a lot of things differently." How should the nurse react to this client's admission? A) Ask the client if he thinks he would benefit from counseling. B) Ask the client if he would like to receive a visit from the hospital chaplain. C) Encourage the client to elaborate and listen carefully. D) Reassure the client that everyone makes mistakes in their lives.
A forest plot portrays information about which of the following for each study in the meta-analysis?
A) 95% CIs around an effect size B) Number of study participants C) Quality assessment scores D) Sample size and standard errors
The nurse who palpates a client's thorax while the client says the number "99" is assessing for:
a. bronchial sounds. . b. bronchovesicular sounds. c. adventitious sounds d. tactile fremitus.
The nurses are discussing nursing informatics and how it affects their ability to perform their jobs. Which of the following statements indicates the need for further education?
1. "I think it's great that we're all on the same page because with nursing informatics, everyone is using the same language." 2. "It helped when we wanted to implement the new ventilator-associated pneumonia-prevention guidelines because we had real client outcome data to support using the new interventions." 3. "The nurse manager was quickly able to determine that the average length of stay has decreased to 3.2 days from 3.7 days." 4. "We haven't been trained yet on the new documentation system, but we should go ahead and use it anyway."