The nurse is reviewing the tests planned for a pregnant client. ...

[anshika]

The nurse is reviewing the tests planned for a pregnant client. Traditionally, assessment for gestational diabetes will be performed between 24 and 28 weeks' gestation.
 
  Which findings in the client's history will prompt the test to be performed earlier in the pregnancy?
  Select all that apply.
  1. The client is a multigravida.
  2. The client has a history of a previous stillbirth.
  3. The client has a strong family history of diabetes.
  4. The client experienced infertility prior to becoming pregnant.
  5. The client's last baby was large for gestational age.

Question 2

While performing data collection for a client who has recently had her pregnancy confirmed, the client reports taking daily herbal supplements. What action by the nurse is of the highest priority?
 
  1. Instruct the client to increase the supplements to promote nutritional well-being.
  2. Advise the client to reduce the amount of supplements taken to allow for the prescribed prenatal vitamins being taken.
  3. Encourage the client to speak with the healthcare provider about the herbal supplements.
  4. Record the client's reports on the permanent medical record.

[asware1]

Answer to Question 1

Correct Answer: 2, 3, 5
The assessment for gestational diabetes is most often done between 24 and 28 weeks gestation. In cases in which the client is deemed to be at an increased risk the testing can be done sooner. Diabetic women have a higher incidence of stillbirth. Diabetes may have familial tendencies. Babies born to gestational diabetics are often large for gestational age as a result of uncontrolled serum glucose levels of the mother. The number of past pregnancies does not impact the risk factors of gestational diabetes. Infertility is not directly linked to the presence of diabetes.

Answer to Question 2

Correct Answer: 3