A client at 32 weeks of gestation with gestational diabetes…
A client at 32 weeks of gestation with gestational diabetes mellitus (GDM) has been managing the condition with nutritional therapy and blood glucose monitoring. During a prenatal visit, the nurse reviews the client’s glucose log and notes several fasting glucose levels above the target range. The client reports that the fetus has been measuring larger than expected for gestational age.Which action should the nurse take first?
Read DetailsA client at 34 weeks gestation with a history of two prior c…
A client at 34 weeks gestation with a history of two prior cesarean sections reports painless vaginal bleeding along with blood in her urine (hematuria). Based on these findings, which condition should the nurse suspect, and what diagnostic test should be anticipated?
Read DetailsA client receiving magnesium sulfate for severe preeclampsia…
A client receiving magnesium sulfate for severe preeclampsia develops a respiratory rate of 8 breaths/minute and absent deep tendon reflexes. The nurse stops the infusion and notifies the provider. Which medication should the nurse anticipate administering next?
Read DetailsA nurse is caring for a client at 9 weeks of gestation who h…
A nurse is caring for a client at 9 weeks of gestation who has severe, persistent nausea and vomiting. The client has lost 4 kg since becoming pregnant and has difficulty maintaining adequate fluid intake. The nurse reviews the client’s history to identify factors that may increase the risk for hyperemesis gravidarum.Which finding in the client’s history should the nurse recognize as a significant risk factor?
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