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Author Question: A pregnant client complains of morning sickness. Which assessment finding may indicate a possible ... (Read 61 times)

ishan

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on: Jun 27, 2018
A pregnant client complains of morning sickness. Which assessment finding may indicate a possible developing complication?
 
  a. Trace glucose in the urine c. FHT 155
  b. 1+ ketones in the urine d. Maternal pulse 90

Question 2

Which nursing action is most appropriate following administration of glucose to an infant with a Dextrostix of 30?
 
  a. Apply a pulse oximeter.
  b. Keep the infant under the warmer.
  c. Recheck the blood glucose level in 30 mi-nutes.
  d. Transfer the infant to the NICU.


meow1234

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Reply #1 on: Jun 27, 2018
Answer to Question 1

B
1+ ketones in the urine is an indication of the possible development of gestational diabetes. Trace glucose in the urine may be an issue but not the highest priority. FHT 155 is within the normal range of 120 to 160 for the fetal heart rate. Also, maternal pulse 90 is within the normal range of 60 to 100 heart rate for an adult.

Answer to Question 2

C
Rechecking the blood glucose level in 30 minutes allows for evaluation of the effects of the glucose water feeding. Applying a pulse oximeter or keeping the infant under the warmer are not relative to administering glucose water by mouth. Transferring the infant to the NICU is not an appropriate action, because we don't know how effective the glucose feeding has been.


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