Exam 29: Endocrine and Metabolic Disorders

The nurse is preparing to teach an antepartum client with GDM the correct method of administering an intermediate-acting insulin, such as neutral protamine Hagedorn (NPH), with a short-acting insulin (regular). In the correct order from 1 through 6, match the step number with the action needed to teach the client self-administration of this combination of insulin. -Step 4

Which physiologic alteration of pregnancy most significantly affects glucose metabolism?

A woman with gestational diabetes has had little or no experience reading and interpreting glucose levels.The client shows the nurse her readings for the past few days.Which reading signals the nurse that the client may require an adjustment of insulin or carbohydrates?

A client with maternal phenylketonuria (PKU)has come to the obstetrical clinic to begin prenatal care.Why would this preexisting condition result in the need for closer monitoring during pregnancy?

Diabetes refers to a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin action,insulin secretion,or both.Over time,diabetes causes significant changes in the microvascular and macrovascular circulations.What do these complications include? (Select all that apply).

To manage her diabetes appropriately and to ensure a good fetal outcome,how would the pregnant woman with diabetes alter her diet?

The nurse is preparing to teach an antepartum client with GDM the correct method of administering an intermediate-acting insulin, such as neutral protamine Hagedorn (NPH), with a short-acting insulin (regular). In the correct order from 1 through 6, match the step number with the action needed to teach the client self-administration of this combination of insulin. -Step 2

Which statement regarding the laboratory test for glycosylated hemoglobin Alc is correct?

A serious but uncommon complication of undiagnosed or partially treated hyperthyroidism is a thyroid storm,which may occur in response to stress such as infection,birth,or surgery.What are the signs and symptoms of this emergency disorder? (Select all that apply).

Hypothyroidism occurs in 2 to 3 pregnancies per 1000.Because severe hypothyroidism is associated with infertility and miscarriage,it is not often seen in pregnancy.Regardless of this fact,the nurse should be aware of the characteristic symptoms of hypothyroidism.Which do they include? (Select all that apply).

A 26-year-old primigravida has come to the clinic for her regular prenatal visit at 12 weeks.She appears thin and somewhat nervous.She reports that she eats a well-balanced diet,although her weight is 5 pounds less than it was at her last visit.The results of laboratory studies confirm that she has a hyperthyroid condition.Based on the available data,the nurse formulates a plan of care.Which nursing diagnosis is most appropriate for the client at this time?

The nurse who is caring for a woman hospitalized for hyperemesis gravidarum would expect the initial treatment to involve what?

Screening at 24 weeks of gestation reveals that a pregnant woman has gestational diabetes mellitus (GDM).In planning her care,the nurse and the client mutually agree that an expected outcome is to prevent injury to the fetus as a result of GDM.This fetus is at the greatest risk for which condition?

A number of metabolic changes occur throughout pregnancy.Which physiologic adaptation of pregnancy will influence the nurse's plan of care?

The nurse is preparing to teach an antepartum client with GDM the correct method of administering an intermediate-acting insulin, such as neutral protamine Hagedorn (NPH), with a short-acting insulin (regular). In the correct order from 1 through 6, match the step number with the action needed to teach the client self-administration of this combination of insulin. -Step 5

The nurse is preparing to teach an antepartum client with GDM the correct method of administering an intermediate-acting insulin, such as neutral protamine Hagedorn (NPH), with a short-acting insulin (regular). In the correct order from 1 through 6, match the step number with the action needed to teach the client self-administration of this combination of insulin. -Step 6

Which preexisting factor is known to increase the risk of GDM?

A new mother with a thyroid disorder has come for a lactation follow-up appointment.Which thyroid disorder is a contraindication for breastfeeding?

The nurse is preparing to teach an antepartum client with GDM the correct method of administering an intermediate-acting insulin, such as neutral protamine Hagedorn (NPH), with a short-acting insulin (regular). In the correct order from 1 through 6, match the step number with the action needed to teach the client self-administration of this combination of insulin. -Step 3

Which statement concerning the complication of maternal diabetes is the most accurate?