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Practice Question

A nurse is assisting in caring for a client who has pregestational type 1 diabetes mellitus (PDM). Which of the following findings should the nurse recognize as being associated with this condition?

Answer Choices:

Correct Answer:

Polyphagia.

Rationale:

🟠 Polyphagia (excessive hunger) is a classic symptom of uncontrolled type 1 diabetes mellitus (PDM) caused by the inability of cells to utilize glucose effectively, leading to increased hunger despite hyperglycemia.

🟠 During pregnancy, insulin needs often decrease in the first trimester due to increased insulin sensitivity, not increase, so a need for increased dosage in the first trimester is not typical.

🟠 Hypotension is not commonly associated with PDM; in fact, hypertension is more commonly observed in diabetes-related pregnancy complications.

🟠 Weight gain may be variable; however, excessive weight gain is more common in gestational diabetes and not specifically associated with type 1 PDM.

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This question is from RN ATI Maternity Exam I which contains 50 questions.

More Questions from This Exam
A nurse is reinforcing teaching about newborn care with a client who is 2 hours postpartum. Which of the following statements by the client indicates a need for further teaching?

Answer Choices:

A. "l will place my baby on my stomach and cover her with a warm blanket'.
B. "My baby's temperature will be checked rectally every hour."
C. "l should keep my babys head covered."
D. "My baby's bassinet should be kept away from fans and air conditioning.".
A nurse is caring for a client who might have a hydatidiform mole. The nurse should monitor the client for which of the following findings?

Answer Choices:

A. Whitish vaginal discharge.
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D. Fetal heart rate irregularities.
A nurse is reinforcing teaching of a newly licensed nurse about hypothyroidism during pregnancy. Which of the following statements should the nurse reinforce in the teaching?

Answer Choices:

A. Clients who have this disorder may have an increased risk of lipid and glucose metabolism disorders.
B. The client’s human chorionic gonadotropin (hCG) levels will plateau in the first trimester of pregnancy.
C. Thyroid replacement dosing will likely remain consistent throughout the pregnancy.
D. Antenatal fetal surveillance will be required during the first trimester of pregnancy.
A nurse is collecting data on a I-day-old newborn. Which of the following findings should the nurse identify as requiring follow-up?

Answer Choices:

A. A hymnals tag and white discharge on genitalia.
B. Edema on the scalp that crosses the suture line.
C. A heart murmur.
D. A large, deep sacral dimple above the gluteal cleft.
A nurse is assisting with the admission of a client who is at 39 weeks of gestation and has heavy vaginal bleeding. Which of the following actions should the nurse take?

Answer Choices:

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From Exam
RN ATI Maternity Exam I

50 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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