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Chapter 11: High Risk Perinatal Care: Preexisting Conditions Exam Questions And Answers 2024 Updated With Detailed Answers Rated 100% With Rationales $19.49   Add to cart

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Chapter 11: High Risk Perinatal Care: Preexisting Conditions Exam Questions And Answers 2024 Updated With Detailed Answers Rated 100% With Rationales

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Chapter 11: High Risk Perinatal Care: Preexisting Conditions Exam Questions And Answers 2024 Updated With Detailed Answers Rated 100% With Rationales In assessing the knowledge of a pregestational woman with type 1 diabetes concerning changing insulin needs during pregnancy, th...

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  • September 9, 2024
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  • Chapter 11: High Risk Perinatal Care: Preexisting
  • Chapter 11: High Risk Perinatal Care: Preexisting
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Chapter 11: High Risk Perinatal
Care: Preexisting Conditions
Exam Questions And Answers
2024 Updated With Detailed
Answers Rated 100% With
Rationales

,In assessing the knowledge of a
pregestational woman with type 1 diabetes
concerning changing insulin
needs during pregnancy, the nurse
recognizes that further teaching is warranted
when the client states:


a. I will need to increase my insulin dosage
during the first 3 months of pregnancy.


b. Insulin dosage will likely need to be
increased during the second and third
trimesters.


c. Episodes of hypoglycemia are more likely
to occur during the first 3 months.

,d. Insulin needs should return to normal
within 7 to 10 days after birth if I am bottle-
feeding. - ANSWER-ANS: A


Rationale: Insulin needs are reduced in the
first trimester because of increased insulin
production by the pancreas and increased
peripheral sensitivity to insulin. Insulin
dosage will likely need to be increased during
the second and third trimesters, Episodes of
hypoglycemia are more likely to occur during
the first 3 months, and Insulin needs should
return to normal within 7 to 10 days after
birth if I am bottle-feeding are accurate
statements and signify that the woman has
understood the teachings regarding control
of her diabetes during pregnancy.


PTS: 1 DIF: Cognitive Level: Application REF:
269

, OBJ: Nursing Process: Evaluation MSC: Client
Needs: Physiologic Integrity


Preconception counseling is critical to the
outcome of diabetic pregnancies because
poor glycemic control
before and during early pregnancy is
associated with:


a. Frequent episodes of maternal
hypoglycemia.
b. Congenital anomalies in the fetus.
c. Polyhydramnios.
d. Hyperemesis gravidarum. - ANSWER-ANS:
B


Rationale: Preconception counseling is
particularly important because strict

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