The client with insulin-dependent type II diabetes and an HbA1c of 5.0% is planning to become pregnant soon. What anticipatory guidance should the nurse provide this client?
1. Insulin needs decrease in the first trimester and increase during the third trimester.
2. The risk of ketoacidosis decreases during the length of the pregnancy.
3. Vascular disease that accompanies diabetes slows progression.
4. The baby is likely to have a congenital abnormality because of the diabetes.
1
Rationale:
1. In addition, insulin requirements drop suddenly after delivery of the placenta.
2. The risk of ketoacidosis increases during pregnancy.
3. Vascular disease progresses more rapidly during pregnancy, especially if blood sugar control is not good. Problems such as nephropathy and retinopathy can result.
4. Infants of diabetic mothers have a 5–10% greater risk of having a congenital abnormality. This risk increases to 20–25% if the HbA1c is over 10%.
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A pregnant woman at 25 weeks of gestation tells the nurse that she dropped a pan last week and her baby jumped at the noise. Which response by the nurse is most accurate?
a. "That must have been a coincidence; babies can't respond like that." b. "The fetus is demonstrating the aural reflex." c. "Babies respond to sound starting at about 24 weeks of gestation." d. "Let me know if it happens again; we need to report that to your midwife."
When the nurse researcher conducts an electronic literature search, the search yields more than 7000 citations for the topic. The researcher should make which of these interpretations of the finding?
a. The search was comprehensive. b. The key words were not sufficiently narrowed. c. The topic does not require additional investigation. d. The topic has broad application across health care disciplines.
Which of the following are reasons why patients may feel vulnerable during a hospital stay or clinic visit? Select all that apply
A. The environment is foreign. B. Personal space is limited. C. They have fears about illness. D. They have a sense of control. E. Visiting hours are flexible. F. They are being poked and prodded by healthcare professionals. G. Tests and procedures may be uncomfortable and/or difficult to understand.
In order to decrease the time needed to achieve saturation in information in a qualitative study, the researcher will
a. broaden the scope of the study. b. increase the number of theoretical concepts. c. keep definitions of concepts vague. d. narrow the study's scope.