[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 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. Hypernatremia.

[单项选择]A pregnant client with premature rupture of the membranes has had contractions every 10 minutes. After 48 hours, the contractions stop and the client is to be discharged with home monitoring. The nurse discusses with the client about preterm labor symptoms. Which of the following statements made by the client indicates that she needs further instruction（　）
A. "I should report contractions that occur every 10 minutes in 1 hour. "
B. "I should lie in bed on my left side if contractions begin. "
C. "I should call the doctor if my contractions occur every hour for 6 hours. "
D. "If I start having contractions, I should empty my bladder. /

[单项选择]A pregnant client is taking folic acid. During prenatal teaching, which of the following foods would the nurse recommend as high in folic acid（）
A. Egg yolks.
B. Fruit.
C. Bread.
D. Milk.

[单项选择]After determining that a pregnant client is Rh-negative, the physician orders an indirect Coombs’test. What’s the purpose of performing this test on a pregnant client（　）
A. To determine the fetal blood Rh factor.
B. To determine the maternal blood Rh factor.
C. To detect maternal antibodies against fetal Rh-positive factor.
D. To detect maternal antibodies against fetal Rh-negative factor.

[单项选择]The nurse is providing care for a pregnant client. The client asks the nurse how she can best deal with her fatigue. The nurse should instruct her to（）
A. take sleeping pills for a restful night’s sleep.
B. try to get more rest by going to bed earlier.
C. take her prenatal vitamins.
D. tell her not to worry because the fatigue will go away soon.

[单项选择]A pregnant client who is diabetic is at risk for having a large-for-gestational-age infant because of which of the following（　）
A. Excess sugar causing reduced placental functioning.
B. Insulin acting as a growth hormone on the fetus.
C. Maternal dietary intake of high calories.
D. Excess insulin reducing placental functioning.

[单项选择]A 19-year-old pregnant client tells the nurse she’s concerned that she may not be able to take care of herself during her pregnancy. She states that prenatal care is expensive and her job doesn’t provide insurance. The nurse should recognize which of the following（）
A. The client may not take care of herself.
B. The client may not be fit to take care of a child.
C. The client needs to take up a second job.
D. The client should be referred to community resources available for pregnant women.

[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 neonate of a client with type 1 diabetes mellitus is at high risk for hypoglycemia. An initial sign the nurse should recognize as indicating hypoglycemia in a neonate is（）
A. peripheral acrocyanosis.
B. bradycardia.
C. lethargy.
D. jaundice.

[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]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]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.

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

[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 bath.