Author Question: The parents of a 7-year-old girl with type 1 diabetes has been recording her blood glucose ... (Read 44 times)

abern · **on:** Jun 28, 2018

The parents of a 7-year-old girl with type 1 diabetes has been recording her blood glucose measurements before meals and at bedtime for the past 4 days; they are as follows:
Monday Tuesday Wednesday Thursday
B: 120 mg/dL 135 mg/dL 124 mg/dL 200 mg/

dL
L: 110 mg/dL 120 mg/dL 140 mg/dL 220 mg/dL
D: 90 mg/dL 140 mg/dL 130 mg/dL 200 mg/dL
Bed: 110 mg/dL 110 mg/dL 160 mg/dL 240 mg/dL
The parents bring the child in for a follow-up visit and show the nurse the results. Based on the results, the nurse would need to obtain additional information from the parents and child about which day?
A) Monday
B) Tuesday
C) Wednesday
D) Thursday

Question 2

To prevent breast engorgement, the new breast-feeding mother should be instructed to:

a. Apply cold packs to the breast prior to feeding.
b. Breast-feed frequently and for adequate lengths of time.
c. Limit her intake of fluids for the first few days.
d. Feed her infant no more than every 4 hours.

jackie · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

D

Answer to Question 2

B
Engorgement occurs when the breasts are not adequately emptied at each feeding or if feed-ings are not frequent enough.
Warm packs should be applied to the breast before feedings.
Fluid intake should not be limited with a breast-feeding mother; that will decrease the amount of breast milk produced.
Breast milk moves through the stomach within 1.5 to 2 hours, so waiting 4 hours to feed is too long. Frequent feedings are important to empty the breast and to establish lactation.