The nurse is assessing the pregnant client for the risk of developing gestational diabetes. When should women who are at high risk for gestational diabetes be screened for the disease?
A) Between 24 and 28 weeks' gestation
B) Before or shortly after conception
C) At 36 weeks' gestation
D) At about 40 weeks' gestation
B
Feedback:
Women at average risk of gestational diabetes should be tested at 24 to 28 weeks gestation; those at high risk should be tested as soon as feasible and retested at 24 to 28 weeks if not diagnosed at the initial screening.
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A child with chronic immune thrombocytopenia presents to the emergency department, where the parents report a 3-day history of severe headache and recent change in mental status. What diagnostic test does the nurse prepare to facilitate as the priority?
A. CT of the head B. Lumbar puncture C. Platelet count D. White blood cell count
The leading cause of maternal blunt trauma is
a. cerebrovascular accident. c. idiopathic thrombocytopenic purpura. b. MVA. d. domestic violence.
A patient is receiving doxorubicin (Adriamycin) as part of treatment for ovarian cancer. Which nursing diagnosis is related to this antineoplastic drug?
a. Decreased cardiac output related to the adverse effect of cardiotoxicity b. Ineffective breathing pattern related to the adverse effect of pulmonary toxicity c. Risk for injury related to the effects of neurotoxicity (ataxia, numbness of hands and feet) d. Impaired urinary elimination pattern related to hyperuricemia
The nurse is preparing to place the client's IV on an electronic pump and notices that the end of the cord is frayed. To prevent harm, the nurse would:
1. Get another pump from the equipment room. 2. Plug the pump in to make sure it works appropriately. 3. Label the pump as broken and notify engineering. 4. Complete an incident report.