During a client's initial prenatal visit, which of the following would indicate a need for further assessment?
1. Maternal age 31 years
2. BMI of 21
3. Drinking 1 small cup of coffee/day
4. History of diabetes for 10 years
4
Rationale: Maternal diabetes places both the mother and infant at risk during pregnancy. Uncontrolled diabetes during pregnancy is associated with increased risk for miscarriages, stillbirth, macorsomia, obstetric complications, and intrauterine developmental and growth abnormalities. Maternal age of 31 is not considered a risk factor. BMI of 21 is within normal limits. American Dietetic Association recommends that females limit caffeine to 300 mg/day because of health risks associated with intake higher than that. High intake of caffeine has been linked to delayed conception, miscarriage, and low birth weight.
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30 : 60 = x : 20
x = _____ a. 4 b. 10 c. 40 d. 100
A nurse in a rehab facility recognizes the patient with damage to what area of the brain will affect the patient's ability to swallow?
A) Temporal lobe B) Medulla oblongata C) Cerebellum D) Pons
When developing a teaching plan for an older, newly diagnosed diabetic client, the nurse best ensures an understanding of oral hypoglycemic medications when providing:
a. the package insert and assessing the cli-ent's reading skills. b. the client with the website address for the American Diabetes Association. c. oral explanations and sending the client home with a written copy. d. the information in paragraph form as op-posed to numbered line fashion.
Which patient teaching would be most therapeutic for someone with sleep disturbance?
1) Give yourself at least 60 minutes to fall asleep. 2) Avoid eating carbohydrates before going to sleep. 3) Catch up on sleep by napping or sleeping in when possible. 4) Do not go to bed feeling upset about a conflict.