The nurse is reviewing the record of a pregnant client seen in ...

[londonang]

The nurse is reviewing the record of a pregnant client seen in the health care clinic for the first prenatal visit.
 
  Which of the following data, if noted on the client's record, would alert the nurse that the client is at risk for developing gestational diabetes during this pregnancy? 1. The client's previous deliveries were by cesarean section.
  2. The client's last baby weighed 10 lb at birth.
  3. The client has a family history of type 1 diabetes.
  4. The client is 5 feet, 3 inches tall and weighs 165 lb.

Question 2

The client is admitted to the hospital with a tentative diagnosis of bladder cancer. The nurse expects the client history to reveal which of the following earliest manifestations of the disease?
 
  1. Proteinuria and dysuria
  2. Hematuria with no pain
  3. Painful urination and hematuria
  4. Pyuria and palpable abdominal mass

[rachel]

Answer to Question 1

2

Rationale: Known risk factors that increase the risk of developing gestational diabetes include obesity (over 198 lb), chronic hypertension, family history of type 2 diabetes, previous birth of a large infant (over 4000 g), and gestational diabetes in a previous pregnancy. The other options are not risk factors associated with the development of gestational diabetes.

Answer to Question 2

2

Rationale: The earliest signs and symptoms of bladder cancer are hematuria that is not accompanied by pain. The hematuria is intermittent at first. Later symptoms include hematuria with dysuria and frequency because of bladder irritation. Pyuria and proteinuria are not part of the clinical picture. A mass is usually not palpable.

[londonang]

Excellent

[bdobbins]

Gracias!