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Chapter 17 Pregnancy at Risk: Pregestational Problems /Questions And Answers (A+)
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Chapter 17 Pregnancy at Risk: PregestationalProblems /Questions And Answers (A+)
Quiz :A 20-year-old woman is at 28 weeks' gestation. Her prenatal history
reveals past drug abuse, and urine screening indicates that she has recently used
heroin. The nurse should recognize that the woman is at increased risk for
which condition?
1. Erythroblastosis fetalis
2. Diabetes mellitus
3. Abruptio placentae
4. Pregnancy-induced hypertension - √Answer :Answer: 4
Explanation: 4. Women who use heroin are at risk for poor nutrition, anemia,
and pregnancy-induced hypertension (or preeclampsia-eclampsia).
Quiz :The nurse is working with a woman who abuses stimulants. The nurse is
aware that the fetus is at risk for which of the following?
1. Withdrawal symptoms
2. Cardiac anomalies
3. Sudden infant death syndrome
4. Being small for gestational age
5. Fetal alcohol syndrome - √Answer :Answer: 1, 2, 3, 4
Explanation: 1. Infants born to mothers who abuse stimulants such as
amphetamines can have withdrawal symptoms.
2. Infants born to mothers who abuse stimulants such as cocaine can be born
with cardiac anomalies.
3. Infants born to mothers who abuse stimulants such as cocaine can have
sudden infant death syndrome.
4. Infants born to mothers who abuse stimulants such as nicotine can be small
for gestational age.
, Quiz :The nurse is assessing a woman at 10 weeks' gestation who is addicted to
alcohol. The woman asks the nurse, "What is the point of stopping drinking now
if my baby probably has been hurt by it already?" What is the best response by
the nurse?
1. "It won't help your baby, but you will feel better during your pregnancy if
you stop now."
2. "If you stop now, you and your baby have less chance of serious
complications."
3. "If you limit your drinking to once a week, your baby will be okay."
4. "You might as well stop it now, because once your baby is born, you'll have
to give up alcohol if you plan on breastfeeding." - √Answer :Answer: 2
Explanation: 2. Chronic abuse of alcohol can undermine maternal health by
causing malnutrition, bone marrow suppression, increased incidence of
infections, and liver disease. The effects of alcohol on the fetus may result in
fetal alcohol spectrum disorders (FASD).
Quiz :The client has just been diagnosed as diabetic. The nurse knows teaching
was effective when the client makes which statement?
1. "Ketones in my urine mean that my body is using the glucose appropriately."
2. "I should be urinating frequently and in large amounts to get rid of the extra
sugar."
3. "My pancreas is making enough insulin, but my body isn't using it correctly."
4. "I might be hungry frequently because the sugar isn't getting into the tissues
the way it should." - √Answer :Answer: 4
Explanation: 4. The client who understands the disease process is aware that if
the body is not getting the glucose it needs, the message of hunger will be sent
to the brain.
Quiz :The client with insulin-dependent type 2 diabetes and an HbA1c of 5.0%
is planning to become pregnant soon. What anticipatory guidance should the
nurse provide this client?
1. Insulin needs decrease in the first trimester and usually begin to rise late in
the first trimester as glucose use and glycogen storage by the woman and fetus
increase.
2. The risk of ketoacidosis decreases during the length of the pregnancy.
3. Vascular disease that accompanies diabetes slows progression.
4. The baby is likely to have a congenital abnormality because of the diabetes. -
√Answer :Answer: 1
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