The nurse admits a woman who is 8 weeks pregnant who has a history of gestational diabetes with her first pregnancy. What diagnostic test does the nurse anticipate the physician will order for this client?
1. Indirect Coombs' test
2. Maternal hemoglobin
3. Glucose tolerance test
4. Fetal L/S ratio
3
Rationale: The woman who became diabetic with her last pregnancy is at risk for gestational diabetes with this pregnancy as well, and will need to be tested at 24 weeks by performing a glucose tolerance test. Other tests may also be ordered, but they are less likely than the GTT.
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The nurse is assessing an older adult client who is experiencing a myocardial infarction. What clinical manifestation does the nurse expect in this client?
a. Excruciating pain on inspiration b. Left lateral chest wall pain c. Disorientation and confusion d. Numbness and tingling of the arm
A postpartum multipara is breastfeeding her new baby. The client states that she developed mastitis with her first child, and asks if there is something she can do to prevent mastitis this time
Which response by the nurse is most appropriate? 1. "Massage your breasts on a daily basis, and if you find a hardened area, massage it toward the nipple to unblock that duct." 2. "Most first-time moms experience mastitis. It is really quite unusual for a woman having her second baby to get it again." 3. "Apply cold packs to any areas that feel thickened or firm in order to relieve the swelling and stasis of the milk in that area." 4. "Take your temperature once a day. This will help you to pick up the infection early, before it becomes severe."
When transferring the patient into a car,
A. place the wheelchair at a 45° angle to the car. B. avoid locking the brakes to the wheelchair, so you can move the chair quickly to assist. C. lift the patient from the wheelchair to the car seat. D. always move the patient toward her strong side.
The nurse is conducting teaching about risk factor management for cardiovascular disease (CVD) at a senior center. What is the most important information for the nurse to include?
A. Eat in moderation. B. Stop smoking. C. Reduce saturated fats in the diet. D. Exercise when able.