A 26-year-old multigravida is 28 weeks pregnant. She has ...

[B]

A 26-year-old multigravida is 28 weeks pregnant. She has developed gestational diabetes. She is following a program of regular exercise, which includes walking, bicycling, and swimming.
 
  What instructions should be included in a teaching plan for this client? 1. Exercise either just before meals or wait until two hours after a meal.
  2. Carry hard candy (or other simple sugar) when exercising.
  3. If your blood sugar is 120 mg/dL, eat 20 g of carbohydrate.
  4. If your blood sugar is more than 120 mg/dL, drink a glass of whole milk.

Question 2

A child with suspected Down syndrome has been born to 32-year-old parents. The parents ask the nurse how the diagnosis will be made, and if there was a way that the diagnosis could have been made during the pregnancy.
 
  The best response by the nurse is: 1. The baby's genes could have been tested during pregnancy by doing an amniocentesis.
  2. The doctor will check the baby's genes by doing a 24-hour urine collection on your child.
  3. Mom's blood could have been tested during the pregnancy to check for genetic problems with the baby.
  4. A swab of the baby's cheek or a stool sample will be used to check your baby's chromosomes.

[14vl19]

Answer to Question 1

2
Rationale:
1. It is best to exercise just after the meal, in order to utilize the glucose.
2. A client should be encouraged to continue any exercise programs in which she already is involved. She should keep hard candy (simple sugar) with her at all times, just in case the exercise induces hypoglycemia.
3. A finger stick result of 120 mg/dL is considered to be normal.
4. Such clients need no additional carbohydrate or protein intake.

Answer to Question 2

1
Rationale:
1. A genetic amniocentesis is the removal of a small amount of amniotic fluid is obtained by inserting a needle through the abdominal wall into the uterus. The amniotic fluid is then processed to examine the chromosomes.
2. Suspected genetic conditions in newborns are diagnosed by examining the baby's chromosomes either from a blood sample or from a swab of the inside of the cheek.
3. Mom's blood would contain the mother's chromosomes, not the baby's. Prenatal genetic testing is accomplished through genetic amniocentesis. A small amount of amniotic fluid is obtained by inserting a needle through the abdominal wall into the uterus. The amniotic fluid is then processed to examine the chromosomes.
4. Although a cheek swab can be used for genetic testing, stool samples cannot. Because part of the answer is incorrect, the whole answer is incorrect.

[B]

TYSM

[bulacsom]

Excellent