Women with gestational diabetes often give birth to larger-than-average infants. Which of the following explanations is most accurate?

1. The woman's tissues become insulin resistant, and her insulin crosses the placenta.
2. The fetus produces sufficient insulin to convert the glucose from the placenta to adipose tissue.
3. The fetus selectively absorbs the glucose but not the insulin from the mother.
4. Fetal insulin is stronger than maternal insulin.


2

Nursing

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Neuromuscular blocking agents are used in the management of some ventilated patients. Their primary mode of action is:

a. analgesia. b. anticonvulsant. c. paralysis. d. sedation.

Nursing

The nurse is providing teaching for a patient

who is to receive estrogen replacement therapy. Which statement is correct to include in the teaching session? a. "If you miss a dose, double-up on the next dose." b. "There's no need to be concerned about breast lumps or bumps that occur." c. "Be sure to report any weight gain of 5 pounds or more per week." d. "Take the medication on an empty stomach to enhance absorption."

Nursing

The nurse is performing the Denver II screening test on a 12-month-old infant during a routine well-child visit. The nurse should tell the infant's parents that the Denver II:

a. Tests three areas of development: cognitive, physical, and psychological b. Will indicate whether the child has a speech disorder so that treatment can begin. c. Is a screening instrument designed to detect children who are slow in development. d. Is a test to determine intellectual ability and may indicate whether problems will develop later in school.

Nursing

Which of the following drugs inhibits the enzyme DOPA decarboxylase to increase the amount of the drug levodopa that enters the brain?

A. Selegiline B. Rasagiline C. Tolcapone D. Carbidopa

Nursing