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Practice Question

A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise. The nurse should anticipate a prescription from the provider for which of the following medications for the client?

Answer Choices:

Correct Answer:

Insulin

Rationale:

🎀 Insulin is the preferred treatment for gestational diabetes when lifestyle modifications like diet and exercise are no longer effective.

🎀 It does not cross the placenta, making it safe for the developing fetus.

🎀 Oral antidiabetic agents are generally avoided in pregnancy due to limited safety data and potential fetal effects.

🎀 Tight glycemic control is essential to reduce risks such as macrosomia, preterm birth, and neonatal hypoglycemia.

🎀 Nurses play a critical role in educating clients about insulin self-administration and glucose monitoring.

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This question is from RN ATI Maternal Newborn Exam I which contains 32 questions.

More Questions from This Exam
A nurse is providing teaching about expected gestational changes to a client who is at 12 weeks of gestation. Which of the following statements by the client indicates a need for further teaching?

Answer Choices:

A. I will reduce my stress level.
B. I will use only nonprescription medications while pregnant.
C. I will monitor my weight gain during the remaining months.
D. I will tell my doctor before using home remedies for nausea.
To lower your risk of getting an STD, you should:

Answer Choices:

A. Use male condoms.
B. Don't have multiple sex partners.
C. As a young person, delay having sexual relations as long as possible.
D. All of the above.
When teaching a group of students about chlamydia, which of the following points is most important for the healthcare provider to emphasize?

Answer Choices:

A. Chlamydia is the least common of all the major sexually transmitted diseases.
B. Good handwashing technique is the best way to prevent chlamydial infections.
C. Most people infected with chlamydia are unaware that they are infected.
D. Burning and pain with urination is a frequent symptom of chlamydial infections.
A patient asks the healthcare provider about the benefits of receiving the human papillomavirus (HPV) vaccine. Which statement is the most

Answer Choices:

A. The HPV vaccine can help prevent cervical cancer.
B. The HPV vaccine will protect you from all types of the virus.
C. appropriate response by the healthcare provider? You will need to have a booster vaccination each year.
D. You will no longer need to get a routine cervical exam.
From Exam
RN ATI Maternal Newborn Exam I

32 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Maternal & Newborn Care
  • Answer Choices: 4
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