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A nurse is collecting data from a client during their first prenatal visit. The nurse should identify which of the following findings as a risk factor for gestational diabetes mellitus?

A.

Maternal age of 21 years.

B.

Fasting blood glucose of 72 mg/dL.

C.

Previous newborn weighing 4.8 kg.

D.

Prepregnancy BMI of 23.

Answer and Explanation

The Correct Answer is C

Choice A rationale

 

Maternal age of 21 years is not considered a significant risk factor for gestational diabetes. Typically, advanced maternal age (35 years or older) is considered a risk factor due to changes in insulin resistance that occur with age.

 

Choice B rationale

 

A fasting blood glucose of 72 mg/dL is within the normal range and does not indicate a risk for gestational diabetes. Gestational diabetes is usually diagnosed with fasting blood glucose levels higher than 95 mg/dL.

 

Choice C rationale

 

Previous newborn weighing 4.8 kg is a significant risk factor for gestational diabetes. Having a macrosomic (large) baby in a previous pregnancy is linked with an increased risk of developing gestational diabetes in subsequent pregnancies.

 

Choice D rationale

 

A prepregnancy BMI of 23 is within the normal range (18.5-24.9) and does not increase the risk of gestational diabetes. Higher BMI levels, particularly above 25, are associated with an increased risk.


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Correct Answer is A

Explanation

Choice A rationale

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Choice B rationale

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Choice C rationale

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Choice D rationale

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Correct Answer is B

Explanation

Choice A rationale

Using a disposable razor for shaving while taking warfarin can increase the risk of cuts and bleeding, which should be avoided due to the anticoagulant effects of warfarin.

Choice B rationale

Oral contraceptives should not be taken while on warfarin because they can increase the risk of blood clots, counteracting the effect of the anticoagulant.

Choice C rationale

Stopping warfarin in 2 weeks is incorrect advice, as the duration of therapy varies depending on the condition being treated and the individual's response to the medication.

Choice D rationale

Taking 650 milligrams of aspirin for leg discomfort is not advised while on warfarin, as aspirin can increase the risk of bleeding by affecting platelet function and the blood clotting process.

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