Author Question: A patient with type 2 diabetes mellitus is planning to become pregnant within the next several ... (Read 22 times)

vinney12 · **on:** Jun 27, 2018

A patient with type 2 diabetes mellitus is planning to become pregnant within the next several months. What should the nurse instruct the patient to support the 2020 National Health Goals of reducing the complications of pregnancy from diabetes?

A) Avoid episodes of hyperglycemia.
B) Reduce the current exercise regimen by half.
C) Limit the intake of carbohydrates and fats in the diet.
D) Reduce the use of insulin for blood glucose coverage.

Question 2

After teaching a class about hepatic system adaptations after birth, the instructor determines that the teaching was successful when the class identifies which of the following as the process of changing bilirubin from a fat-soluble product to a

water-soluble product? A) Hemolysis
B) Conjugation
C) Jaundice
D) Hyperbilirubinemia

swimkari · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Feedback:
To support the 2020 National Health Goals, the nurse should instruct the patient to enter pregnancy without hyperglycemia. This action helps reduce congenital anomalies in newborns. Reducing exercise, limiting carbohydrates and fats, and reducing the use of insulin for blood glucose coverage does not support the 2020 National Health Goals to reduce the complications of pregnancy associated with diabetes.

Answer to Question 2

B
Feedback:
The process in which bilirubin is changed from a fat-soluble product to a water-soluble product is called conjugation. Hemolysis involves the breakdown of blood cells. In the newborn, hemolysis of the red blood cells is the principal source of bilirubin. Jaundice is the manifestation of increased bilirubin in the bloodstream. Hyperbilirubinemia refers to the increased level of bilirubin in the blood.