The nurse is educating a client about her recent glucose tolerance test. Which statement by a client with gestational diabetes indicates a need for further teaching?

A pregnant client at 11 weeks’ gestation undergoes first-trimester ultrasound screening. The nuchal translucency (NT) measurement is 3.4 mm, while maternal serum screening results are within normal limits. No other structural abnormalities are visualized at this time. Which interpretation and next clinical step is most appropriate based on current evidence?

A pregnant client at 30 weeks’ gestation is scheduled for diagnostic imaging to further evaluate a suspected fetal central nervous system anomaly that could not be adequately visualized by ultrasonography because of maternal body habitus and fetal position. The health care team selects magnetic resonance imaging (MRI) rather than computed tomography (CT). Which rationale most accurately supports the use of MRI in this clinical situation?

A pregnant client with poorly controlled pregestational diabetes presents for antenatal counseling. The nurse explains mechanisms underlying fetal and neonatal complications associated with maternal hyperglycemia. Which explanation most accurately links the timing and pathophysiology of maternal hyperglycemia to the most serious fetal outcomes?

A nurse is reviewing dietary intake recommendations during pregnancy with a pregnant client in the second trimester. Based on the table shown, which statements accurately reflect physiologic rationale-based changes in nutrient requirements during pregnancy?Select all that apply.

A pediatric nurse is counseling parents who adopted a child internationally and are now experiencing increased behavioral challenges as the child enters adolescence. Which nursing interpretations and anticipatory guidance points are most consistent with evidence-based principles for special parenting situations involving adoption?Select all that apply.

A nurse is explaining endocrine adaptations of pregnancy to a group of advanced nursing students. Which statements accurately describe the source-effect relationships of hormones that contribute to metabolic regulation and maintenance of pregnancy?Select all that apply.

When assisting a patient who has completed the first stage of labor, the nurse observes the patient for supine hypotension. Which is a factor of supine hypotension that the nurse notes? Select all that apply. One, some, or all responses may be correct.

A nurse is providing intrapartum care to a client from a cultural background different from the dominant society. Which nursing actions demonstrate culturally competent management of communication barriers during childbearing, based on established principles of maternal-child nursing?Select all that apply.

A nurse is caring for a client 3 hours after a vaginal birth who has ongoing vaginal bleeding. The estimated blood loss documented is 650 mL, but the client is now tachycardic, pale, and reporting dizziness. The blood observed is bright red, and the uterus is firm and midline. Which interpretation is most accurate?