ATI RN
ATI Pediatrics Final Exam Questions
Extract:
A client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise
Question 1 of 5
A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise. The nurse should anticipate a prescription from the provider for which of the following medications for the client?
Correct Answer: C
Rationale: The correct answer is C: Insulin. At 22 weeks of gestation, insulin is the preferred medication for managing gestational diabetes because it does not cross the placenta, unlike oral hypoglycemic agents like Repaglinide, Glipizide, and Acarbose. Insulin provides precise control of blood glucose levels, essential for the health of both the mother and the fetus. Repaglinide and Glipizide are oral hypoglycemic agents that should be avoided during pregnancy due to potential risks to the fetus. Acarbose is also contraindicated in pregnancy.
Therefore, the provider is likely to prescribe insulin for this client to ensure optimal blood glucose control while minimizing risks to the fetus.
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Question 2 of 5
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Question 5 of 5
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