[单项选择]A client with type 1 (insulin-dependent) diabetes mellitus who is a multigravida visits the clinic at 28 weeks’ gestation. Which of the following instruction by the nurse is appropriate for the client
A. Nonstress testing is performed weekly until 32 weeks’ gestation.
B. Weekly fetal movement counts are made by the mother.
C. Contraction stress testing is performed weekly.
D. Induction of labor is begun at 34 weeks’ gestation.

[单项选择]Every morning a client with type 1 diabetes receives 15 units of Humulin 70/30. What does this type of insulin contain
A. 70 units of NPH insulin and 30 units of regular insulin.
B. 70 units of regular insulin and 30 units of NPH insulin.
C. 70% NPH insulin and 30% regular insulin.
D. 70% regular insulin and 30% NPH insulin.

[单项选择]A client with type 1 diabetes mellitus is pregnant for the second time. Her previous pregnancy ended in spontaneous abortion at 18 weeks’ gestation. She’s now at 22 weeks’ gestation. The nurse is responsible for teaching the client about exercise during her pregnancy. Which of the following statements indicates that the client has an appropriate understanding of her exercise needs
A. "I know I need to walk with a friend or family member. "
B. "I know I need to vary the times of day when I exercise. "
C. "I know I need to exercise before meals. "
D. "I know I need to drink fluids while I walk. "

[单项选择]A neonate of a client with type 1 diabetes mellitus is at high risk for hypoglycemi
A. a. An initial sign the nurse should recognize as indicating hypoglycemia in a neonate is peripheral acrocyanosis.B. bradycardia.C. lethargy.D. jaundic

[单项选择]A client with newly diagnosed type 1 diabetes mellitus is learning about diabetic foot care. Which of the following statements by the client indicates further instruction is needed
A. "I should use lotions. "
B. "I should use antiperspirants. "
C. "I should use foot soaks. "
D. "I should use nail files. "

[单项选择]A client with type 1 (insulin-dependent) diabetes mellitus has just learned she’s pregnant. The nurse is teaching her about insulin requirements during pregnancy. Which guideline should the nurse provide（）
A. "Insulin requirements don’t change during pregnancy. Continue your current regimen. "
B. "Insulin requirements usually decrease during the last two trimesters. "
C. "Insulin requirements usually decrease during the first trimester. "
D. "Insulin requirements increase greatly during labor. "

[单项选择]The nurse instructs the client with diabetes mellitus that it is vital to recognize and treat hypoglycemia promptly based on which of the following knowledge
A. Hypoglycemia can cause brain damage.
B. Hypoglycemia necessitates increased insulin dosage.
C. The client may become dehydrated quickly.
D. The client may become confused, increasing the risk of injury.

[单项选择]A client diagnosed with gestational diabetes has been admitted for induction of labor at 38 weeks. The client asks the nurse, "My previous labors started on their own. How will this induction of labor be different from my last labor" Upon which theory would the nurse base her response
A. An induction causes the contractions to be more intense during the first stage of labor.
B. The risk of uterine rupture is less because the oxytocin (Pitocin) is controlled with an infusion pump.
C. The goal of induction is to produce a contractile pattern similar to that observed in spontaneous labor.
D. During an induction, fetal monitoring begins as soon as oxytocin is started, whereas in a spontaneous labor, monitoring begins when signs of distress occur.

[单项选择]A client with diabetes is explaining to the nurse how he cares for his feet at home. The nurse could judge from which of the following statements that the client needs further instruction on how to care for his feet properly
A. "I inspect my feet once a week for cuts and redness. "
B. "I am not allowed to use a heating pad on my feet. "
C. "It is important to dry my feet carefully after my bath. "
D. "I should not go barefoot, even in my home. "

[单项选择]The nurse is caring for a client with diabetes mellitus. When teaching the client about foot care, which instruction should the nurse provide
A. Examine feet once per week for redness, blisters, and abrasions.
B. Apply lotion to dry feet, especially between the toes.
C. Avoid hot-water bottles and heating pads.
D. Dry feet vigorously after each bat

[填空题]Type 2 diabetes only occur in adults while Type 1 diabetes may occur in children.

[单项选择]A child with type 1 diabetes mellitus develops diabetic ketoacidosis and receives a continuous insulin infusion. Which condition represents the greatest risk for this child
A. Hypercalcemia.
B. Hyperphosphatemia.
C. Hypokalemia.
D. Hypernatremi

[填空题]For fat children with type Ⅱ diabetes, they may have the symptom of high blood pressure.

[填空题]
When you eat, your body takes the sugar from food and turns it into fuel. (46) . Your body uses glucose (葡萄糖) for energy, so it can do everything from breathing air to playing a video game. But glucose cannot be used by the body on its own--it needs hormone called insulin to bring is into the cells of the body.
Most people get the insulin they need from the pancreas; a large organ near the stomach. The pancreas makes insulin; insulin brings glucose into the cells; and the body gets the energy it needs. When a person has Type 1 diabetes, it is because the pancreas is not making insulin. So someone could be eating lots of food and getting all the glucose he needs, but without insulin, there is no way for the body to use the glucose for energy. (47) .
You may have heard older people talk about having diabetes, maybe people of your grandparents’ age. Usually, this is a different kind of diabetes

[单项选择]A client with paranoid type schizophrenia becomes angry and tells the nurse to leave him alone. The nurse should
A. tell him that she’ll leave for now but will return soon.
B. ask him if it’s okay if she sits quietly with him.
C. ask him why he wants to be left alone.
D. tell him that she won’t let anything happen to him.