A woman is diagnosed with diabetes. She is concerned about the ...

[bcretired]

A woman is diagnosed with diabetes. She is concerned about the impact this will have on her ability to have children. The nurse tells her:
 
  a. Women with diabetes cannot have children
  b. She should have been more careful about her diet and exercise
  c. Successful regulation of blood glucose has allowed increasing numbers of women to bear children
  d. If she has a baby, it will be critically ill for many weeks

Question 2

The nurse caring for the child who is going to have surgery related to Hirschsprung's disease knows that assessment of the infant's fluid and electrolyte status is necessary for which of the following reasons?
 
  a. There will be extensive bowel cleansing with repeated saline enemas.
  b. The child's extreme constipation will throw the electrolytes off.
  c. The child will be nothing by mouth (NPO) for a very long period of time.
  d. Vomiting and diarrhea are not unusual in these cases.

[Pariscourtney]

Answer to Question 1

C
Women with diabetes can have children. Her diabetes may or may not have been caused by her diet and exercise. Careful monitoring and regulation of blood glucose is allowing women to successfully bear children. The baby is not necessarily doomed to being critically ill.

Answer to Question 2

A

Feedback
A Correct. The nurse caring for the child who is going to have surgery related to Hirschsprung's disease knows that assessment of the infant's fluid and electrolyte status is necessary because there will be extensive bowel cleansing with repeated saline enemas. Saline enemas will cause an imbalance in fluid and electrolyte status.
B Incorrect. The major reason for assessment of the infant's fluid and electrolyte status preoperatively is not that the child's extreme constipation will throw the electrolytes off.
C Incorrect. The major reason for assessment of the infant's fluid and electrolyte status preoperatively is not that the child will be nothing by mouth (NPO) for a very long period of time. The child will be NPO until bowel sounds return and stool is passed, and the length of time would vary with each individual.
D Incorrect. Vomiting can be a clinical manifestation in the older child but not diarrhea. Ribbon like or pellet shaped, foul smelling stools are common. Thus, this is not the major reason for assessment of the infant's fluid and electrolyte status preoperatively.