Screening at 24 weeks reveals that a pregnant woman has gestational diabetes mellitus (GDM). In planning her care, the nurse and the woman mutually agree that an expected out-come is to prevent injury to the fetus as a result of GDM
The nurse identifies that the fetus is at greatest risk for: 1. macrosomia.
2. congenital anomalies of the central nervous system.
3. preterm birth.
4. low birth weight.
1
1. Correct. Poor glycemic control later in pregnancy increases the rate of fetal macrosomia.
2. Incorrect. Poor glycemic control during the preconception time frame and into the early weeks of the pregnancy is associated with congenital anomalies.
3. Incorrect. Preterm labor or birth is more likely to occur with severe diabetes and is the greatest risk in women with pregestational diabetes.
4. Incorrect. Increased weight or macrosomia is the greatest risk factor for the fetus.
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The community health nurse needs to have an understanding of the environmental factors that affect the health of communities. As practitioners of community health, how does this information aid us?
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Which drug may be prescribed to prevent the growth of unwanted facial hair?
1. Finasteride 2. Minoxidil 3. Eflornithine 4. Fluorouracil