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Practice Question

The nurse is caring for a pregnant client diagnosed with gestational diabetes. Which finding is consistent with this diagnosis?

Answer Choices:

Correct Answer:

Diagnosis was made during the third trimester

Rationale:

🖋️ Gestational diabetes develops when pregnancy hormones create insulin resistance, typically becoming apparent in the second or third trimester.

🖋️ This timing distinguishes it from pregestational diabetes, which is diagnosed before pregnancy or early in the first trimester.

🖋️ Elevated A1C early in pregnancy usually reflects preexisting glucose intolerance, not gestational diabetes.

🖋️ Screening for gestational diabetes routinely occurs between 24–28 weeks, when placental hormones peak and glucose intolerance becomes measurable.

🖋️ Therefore, a diagnosis made later in pregnancy aligns with the typical window in which gestational diabetes is identified.

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This question is from W4 NR327 Exam 1 which contains 72 questions.

More Practice Questions
A nurse is caring for a client with type O blood who delivers a newborn with type B blood. Which finding should the nurse anticipate?

Answer Choices:

A. Newborn bradycardia
B. Newborn hyperbilirubinemia
C. Maternal thrombocytopenia
D. Maternal hypertension
A nurse is caring for a client diagnosed with hyperemesis gravidarum. Which clinical finding is most concerning?

Answer Choices:

A. Urine output of 40 mL/hour
B. Trace ketones in the urine
C. No weight gain over one week
D. Serum potassium of 2.8 mEq/L
A nurse is caring for a client with an order for a blood transfusion. The client does not wish to receive the blood transfusion due to religious beliefs. What action should the nurse take?

Answer Choices:

A. Reinforce education about the risks of refusal
B. Inform the client that their decision is wrong
C. Administer the transfusion if the client becomes unstable
D. Avoid further discussion of the blood transfusion
The nurse is caring for a client who just received a diagnosis of gestational diabetes. The client states, "I don't understand why this happened. Why did I develop this?" How should the nurse respond? (Select all that apply.)

Answer Choices:

A. "Clients who have a first-degree relative with diabetes are at greater risk."
B. "Clients who have a history of cardiac disease are at greater risk."
C. "Clients who have a history of gestational diabetes are at greater risk."
D. "Clients with a body mass index (BMI) equal to or greater than 20 are at greater risk."
E. "Clients who have a history of polycystic ovary syndrome are at greater risk."
F. "Clients who are older than 20 years of age at the time of pregnancy are at greater risk."
A client arrives at the labor and delivery unit, and it is determined that a complete placental abruption is occurring. What is an appropriate nursing action?

Answer Choices:

A. Administer medication to stop labor
B. Apply fundal pressure
C. Position the client in Trendelenburg
D. Prepare the client for delivery
From Exam
W4 NR327 Exam 1

72 Questions

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Question Details
  • Category: RN - Nursing Exam(s)
  • Subcategory: Examplify/Examsoft Exams
  • Domain: MATERNAL & NEWBORN NURSING - EXAMSOFT
  • Answer Choices: 4
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