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Free NCLEX-RN Exam Braindumps (page: 21)

Page 20 of 431
PDF with 862 Questions

Diabetes during pregnancy requires tight metabolic control of glucose levels to prevent perinatal mortality. When evaluating the pregnant client, the nurse knows the recommended serum glucose range during pregnancy is:

  1. 70 mg/dL and 120 mg/dL
  2. 100 mg/dL and 200 mg/dL
  3. 40 mg/dL and 130 mg/dL
  4. 90 mg/dL and 200 mg/dL

Answer(s): A

Explanation:

(A) The recommended range is 70­120 mg/dL to reduce the risk of perinatal mortality. (B, C, D) These levels are not recommended. The higher the blood glucose, the worse the prognosis for the fetus. Hypoglycemia can also have detrimental effects on the fetus.



Diabetes during pregnancy requires tight metabolic control of glucose levels to prevent perinatal mortality. When evaluating the pregnant client, the nurse knows the recommended serum glucose range during pregnancy is:

  1. 70 mg/dL and 120 mg/dL
  2. 100 mg/dL and 200 mg/dL
  3. 40 mg/dL and 130 mg/dL
  4. 90 mg/dL and 200 mg/dL

Answer(s): A

Explanation:

(A) The recommended range is 70­120 mg/dL to reduce the risk of perinatal mortality. (B, C, D) These levels are not recommended. The higher the blood glucose, the worse the prognosis for the fetus. Hypoglycemia can also have detrimental effects on the fetus.



After 3 weeks of treatment, a severely depressed client suddenly begins to feel better and starts interacting appropriately with other clients and staff. The nurse knows that this client has an increased risk for:

  1. Suicide
  2. Exacerbation of depressive symptoms
  3. Violence toward others
  4. Psychotic behavior

Answer(s): A

Explanation:

(A) When the severely depressed client suddenly begins to feel better, it often indicates that the client has made the decision to kill himself or herself and has developed a plan to do so. (B) Improvement in behavior is not indicative of an exacerbation of depressive symptoms. (C) Thedepressed client has a tendency for self-violence, not violence toward others. (D) Depressive behavior is not always accompanied by psychotic behavior.



After 3 weeks of treatment, a severely depressed client suddenly begins to feel better and starts interacting appropriately with other clients and staff. The nurse knows that this client has an increased risk for:

  1. Suicide
  2. Exacerbation of depressive symptoms
  3. Violence toward others
  4. Psychotic behavior

Answer(s): A

Explanation:

(A) When the severely depressed client suddenly begins to feel better, it often indicates that the client has made the decision to kill himself or herself and has developed a plan to do so. (B) Improvement in behavior is not indicative of an exacerbation of depressive symptoms. (C) Thedepressed client has a tendency for self-violence, not violence toward others. (D) Depressive behavior is not always accompanied by psychotic behavior.






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