Author Question: The nurse is teaching a diabetic pregnant client about nutrition and insulin needs during pregnancy. ... (Read 119 times)

karen · **on:** Jul 22, 2018

The nurse is teaching a diabetic pregnant client about nutrition and insulin needs during pregnancy. The nurse determines that the client understands dietary and insulin needs if the cli-ent states that the second half of pregnancy may require:

1. Increased insulin
2. Decreased insulin
3. Increased caloric intake
4. Decreased caloric intake

Question 2

The client with glomerulonephritis has developed acute renal failure (ARF) as a complication. The nurse would expect to note which of the following abnormal findings documented on the client's medical record?

1. Decreased cardiac output
2. Hypertension
3. Bradycardia
4. Decreased central venous pressure

meganmoser117 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1

Rationale: Glucose crosses the placenta, but insulin does not. High fetal demands for glucose, combined with the insulin resistance caused by hormonal changes in the last half of pregnancy, can result in elevation of maternal blood glucose levels. This increases the mother's demand for insulin and is referred to as the diabetogenic effect of pregnancy. Caloric requirements are not affected by diabetes.

Answer to Question 2

2

Rationale: ARF caused by glomerulonephritis is classified as an intrinsic or intrarenal cause of renal failure. It is commonly manifested by hypertension, tachycardia, oliguria, lethargy, edema, and other signs of fluid overload. ARF from a prerenal cause is characterized by decreased blood pressure, tachycardia, decreased cardiac output, and decreased central venous pressure. Bradycardia is not part of the clinical picture for any form of renal failure.