1. A pregnant client, at 28 weeks gestation is diagnosed with gestational diabetes mellitus. The nurse is providing education on glucose monitoring. Which statement by the client indicates an understanding of the teaching?
A) “I will check my blood glucose level before meals and at bedtime.”
B) “I will check my blood glucose level once a day, preferably in the morning.”
C) “I will check my blood glucose level after each meal.”
D) “I will check my blood glucose level only if I experience symptoms of hypoglycemia.”
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LISTEN to the answer and explanation for Question 1. Click below.
2. A pregnant client, with gestational diabetes, is prescribed insulin therapy to manage her blood glucose levels. Which statement by the client indicates an understanding of insulin administration?
A) “I will inject insulin into my abdomen.”
B) “I will inject insulin into my thigh.”
C) “I will inject insulin into my buttock.”
D) “I will inject insulin into my upper arm.”
LISTEN to the answer and explanation for Question 2. Click below.
3. A pregnant client at 10 weeks gestation presents to the prenatal clinic for her first visit. The nurse is discussing the importance of folic acid supplementation. The client asks, “Why do I need to take folic acid?” What is the appropriate response by the nurse?
A) “Folic acid helps prevent neural tube defects in the baby.”
B) “Folic acid increases your energy levels during pregnancy.”
C) “Folic acid reduces the risk of preterm labor.”
D) “Folic acid improves your immune system during pregnancy.”
4. A pregnant patient, at 32 weeks gestation, presents to the clinic complaining of severe headache, blurred vision, and epigastric pain. Her blood pressure is 160 over 100. Which of the following actions should the nurse prioritize?
A) Administer an antihypertensive medication.
B) Administer an analgesic for headache relief.
C) Assess deep tendon reflexes.
D) Collect a urine specimen for protein testing.
5. A client with gestational diabetes is scheduled for a non-stress test (NST). The client asks the nurse about the purpose of the test. What is the appropriate response by the nurse?
A) “The NST will assess the oxygenation of your baby during contractions.”
B) “The NST will measure the amount of amniotic fluid surrounding your baby.”
C) “The NST will monitor your blood glucose levels after meals.”
D) “The NST will evaluate the well-being of your baby by measuring fetal heart rate patterns.”
6. A pregnant client with preeclampsia is admitted to the antenatal unit. The healthcare provider prescribes magnesium sulfate for seizure prophylaxis. Which assessment should the nurse prioritize while the client is receiving magnesium sulfate?
A) Blood pressure monitoring.
B) Respiratory rate monitoring.
C) Hourly urine output measurement.
D) Reflex assessment.
7. A pregnant client with severe preeclampsia is scheduled for a cesarean section due to fetal distress. Before the procedure, the nurse should ensure the availability of which medication?
A) Hydralazine.
B) Oxytocin.
C) Nifedipine.
D) Magnesium sulfate.
8. A pregnant client is scheduled for an ultrasound at 20 weeks gestation. The nurse explains the purpose of the ultrasound to the client. Which statement by the client indicates an understanding of the explanation?
A) “The ultrasound will determine the baby’s gender.”
B) “The ultrasound will check for any abnormalities in the baby’s organs.”
C) “The ultrasound will measure the baby’s heart rate.”
D) “The ultrasound will estimate the baby’s weight.”
9. A pregnant client at 37 weeks gestation presents to the antenatal clinic for a check-up. The nurse measures the fundal height and finds it to be larger than expected for gestational age. The client’s blood glucose levels have also been consistently elevated. Which of the following complications should the nurse suspect?
A) Placenta previa.
B) Ectopic pregnancy.
C) Macrosomia.
D) Preterm labor
10. A pregnant client at 38 weeks gestation is diagnosed with fetal macrosomia based on ultrasound findings. The nurse provides education to the client about potential complications associated with macrosomic infants. Which of the following complications should the nurse include in the discussion?
A) Intrauterine growth restriction.
B) Hypoglycemia.
C) Premature rupture of membranes.
D) Oligohydramnios
