A nurse is caring for a pregnant woman with diabetes mellitus. ...

[kaid0807]

A nurse is caring for a pregnant woman with diabetes mellitus. What assessment finding demonstrates that the patient has successfully met an important goal during pregnancy?
 
  A.
  Blood glucose consistently < 130 mg/dL
  B.
  Electrolyte levels remaining within normal limits
  C.
  Fetal weight > 4,500 g at birth
  D.
  Pregnancy weight gain of no more than 20 lb

Question 2

A nurse has instructed a woman on the procedure for nipple rolling. What action by the patient demonstrates good understanding of the teaching?
 
  A.
  Pinches and pulls the nipples on alternating sides
  B.
  Rolls both nipples together for 10 minutes
  C.
  Rolls one nipple at a time during a contraction
  D.
  Rolls one nipple at a time through her clothing

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Answer to Question 1

ANS: A
Women with diabetes should strive to maintain their blood glucose readings within normal parameters during pregnancy. Poor glycemic control contributes to fetal macrosomia (fetal weight > 500 g) and other complications. Weight gain should not be restricted to 20 lb, and electrolyte readings are not related to a major goal for this woman.

Answer to Question 2

ANS: D
Nipple rolling can stimulate uterine contractions after labor has begun. The technique is used when labor is not progressing satisfactorily. The nurse instructs the patient to roll one nipple at a time for 10 minutes through her clothing. Then she should switch to the other side. The woman should rest during contractions.