A woman seeking prenatal care relates a history of macrosomic infants, two stillbirths, and polyhydramnios with each pregnancy. What does the nurse recognize these factors highly suggest?
a. Toxoplasmosis
b. Abruptio placentae
c. Hydatidiform mole
d. Diabetes mellitus
ANS: D
Large (macrosomic) infants over 9 pounds are linked to gestational diabetes.
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A patient with a partial-thickness wound has been fitted for an elastic pressure garment. The nurse instructs the patient that this garment is to be worn:
A) 4 to 6 hours a day for 6 months B) Daily for 2 to 3 months after the injury C) Continuously for at least 1 year after the injury D) For 1 year after the injury while sleeping
A patient has a history of diabetes mellitus, myocardial infarctions, and hypertension. His HgbA1c level has dropped from 7.8% to 6.2% 2 months after he began walking
The nurse case manager had provided diabetic education and suggested ways to enhance his cardiac reserve. This is an example of ____. a. Nursing empowerment b. Nursing knowledge c. Patient expertise d. Patient participation in care
The hospital implemented several cost-cutting strategies to keep from closing. One strategy was the support of early retirement. What kind of strategy can the nurse manager use to keep up the morale of the unit?
a. Initiate an across-the-board pay cut to be fair to everyone b. Acknowledge the staff's good work c. Encourage staff members to seek other positions for job security d. Give a pay raise to the remaining employees
A parent is concerned with the interpersonal skills of her 12-year-old son. She asks the commu-nity health nurse what would be the expected behaviors of this age group. Based on interpersonal theory, what is the nurse's best response?
1. "Your son should be able to work with his peers toward a common goal." 2. "You son may have developed sexual feelings for persons of the same sex." 3. "Your son should be able to be genuinely intimate with others." 4. "Your son should have developed a self-identity and be able to set long-term goals."