ATI Maternal newborn online practice 2019 A (Answered) with rationale

Maternal newborn online practice 2019 A with rationale A nurse is assessing a client who has gestational diabetes mellitus and is experiencing hyperglycemia. Which of the following findings should the nurse expect? -Reports increased urinary output Rationale: Increased urinary output, n/v, reports of thirst, abd. pain, constipation, drowsiness, and headaches are manifestations of hyperglycemia. Other manifestations include weak rapid pulse, fruity breath, urine positive for sugar and acetone, and a blood glucose level greater than 200 mg/dL. A nurse is caring for a client who is at 22 weeks gestation and is HIV positive. Which of the following actions should the nurse take? -Report the clients condition to the health department Rationale: HIV is one of the conditions on the list of Nationally Notifiable Infectious Conditions that is required to be reported. A nurse is providing teaching for a client who has a new prescription for combined oral contraceptives. Which of the following findings should the nurse include as an adverse effect of this medication? -Depression Rationale: The nurse should instruct the client that depression is a common adverse effect of combined oral contraceptives. Other common AE of the medication include amenorrhea, weight gain, headache, nausea, breakthrough bleeding, and breast tenderness. A nurse if providing teaching to a client who is at 40 weeks of gestation and has a new prescription for misoprostol. Which of the following instructions should the nurse include in the teaching? -"I can administer oxytocin 4 hours after the insertion of the medication."