Because a pregnant client's diabetes has been poorly controlled throughout her pregnancy, the nurse would be alert for which of the following in the neonate at birth?
A) Macrosomia
B) Hyperglycemia
C) Low birth weight
D) Hypobilirubinemia
A
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Poorly controlled diabetes during pregnancy can result in macrosomia due to hyperinsulinemia stimulated by fetal hyperglycemia. Typically the neonate is hypoglycemic due to the ongoing hyperinsulinemia that occurs after the placenta is removed. Infants of diabetic women typically are large and are at risk for hyperbilirubinemia due to excessive red blood cell breakdown.
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A nurse is conducting a health assessment of an adult patient when the patient asks, "Why do you need all this health information and who is going to see it?" What is the nurse's best response?
A) "Please do not worry. It is safe and will be used only to help us with your care. It's accessible to a wide variety of people who are invested in your health." B) "It is good you asked and you have a right to know; your information helps us to provide you with the best possible care, and your records are in a secure place." C) "Your health information is placed on secure Web sites to provide easy access to anyone wishing to see your medical records. This ensures continuity of care." D) "Health information becomes the property of the hospital and we will make sure that no one sees it. Then, in 2 years, we destroy all records and the process starts over."
The nurse instructs a clinic patient on using an inhaler for his asthma attacks. Which is correct about the use of an inhaler?
a. The medication must go into the back of the nose. b. The medication must go directly into the throat. c. The medication must get to the ears. d. The medication must go into the lungs.
Which maternal condition is considered a contraindication for the application of internal monitoring devices?
a. Unruptured membranes b. Cervix is dilated to 4 cm c. External monitors are currently being used d. Fetus has a known heart defect
Which of the following outcomes are directly related to functional impairment of the older client experiencing pain? (Select all that apply.)
1. Inability to prepare food to meet nutritional requirements 2. Inability to exit home quickly in the case of a fire 3. Development of skin breakdown on buttocks 4. Development of an irregular heart rhythm 5. Displaying signs of clinical depression 6. Feeling alone, unloved, and forgotten