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Exam of 22 pages for the course RNC-NIC at RNC-NIC (RNC test questions)
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RNC test questionsb - answer The insulin requirements for most diabetic breastfeeding mom's is:
a. increased
b. decreased
c. same
b - answer In a normal pregnancy, there is usually a physiologic drop in blood pressure
to its lowest point in the
a. first trimester
b. 2nd trimester
c. 3rd trimester
a - answer Which statement best describes the relationship between maternal and fetal
hemoglobin levels?
a. Fetal hemoglobin is higher than maternal hemoglobin
b. Maternal hemoglobin is higher than fetal hemoglobin
c. Maternal and fetal hemoglobin are the same
b - answer The cardiac output during pregnancy
a. decreases by 23%
b. Increases by 30-50%
c. remains the same
a - answerWhat class of antihypertensive medication is recommended in pregnancy
since it has been shown not to increase the chance of new onset diabetes by improving
sensitivity to insulin glycemic control?
a. Ace inhibitors
b. Beta Blockers
c. Calcium Channel Blockers
a - answerAn antihypertensive that Is contraindicated during the second and third
trimester of pregnancy is
a. Ace inhibitors (Ex: captopril, enalapril, ramipril)
b. Calcium channel blockers (Nifedipine)
c. Combined alpha - beta blockers (Labetolol)
c - answerThe primary indication for the use of magnesium sulfate in preeclampsia is
a. lowering the blood pressure
b. prevention of HELLP
c. seizure prophylaxis
,b - answerA pregnant woman on a continuous infusion of Magnesium Sulfate for
preeclampsia exhibits the following: Respiratory rare: 14 per minute, Deep tendon
reflexes: decreased with clonus, absent mental status: awake and alert . The most
appropriate nursing action is to
a. decrease the infusion rate
b. discontinue the infusion rate
c. maintain the infusion rate
b - answerCompared to the general population, woman with pregestational diabetes are
how likely to deliver a baby with a major congenital anomaly?
a. 1-2 times more likely
b. 3-4 times more likely
c. 5-6 times more likely
c - answerThe tocolytic that is contraindicated in the diabetic woman is
a. Magnesium Sulfate
b. Nifedipine (Procardia)
Terbutaline (Beta - mimetics)
a - answerCompared to the first trimester, the insulin requirements for the diabetic
mother in the third trimester are
a. greater
b. less
c. the same
c - answerA Type I (pregestational) diabetic woman at 32 weeks gestation is admitted
with complaints of abdominal pain, nausea and vomiting over the last 48 hours. she
states she omitted her insulin last evening and this morning since she could not eat. Her
vital signs are 138/86 T-99 P-120 R 32. Her arterial blood gas ph is 7.02. These findings
indicate
a. eugylcemia
b. insulin shock
c. ketoacidoses
a - answerA Type I (pregestational) diabetic woman at 32 weeks gestation is admitted
with complaints of abdominal pain, nause and vomiting over the last 48 hours. she
states she omitted her insulin last evening and this morning since she could not eat. Her
vital signs are 138/86 T-99 P-120 R 32. Her arterial blood gas ph is 7.02. The
appropriate treatment is
a. aggressive IV hydration and IV insulin
b. fluid restriction and Iv glucose
c. hyperalimentation and subcutaneous insulin
a - answerA previously normotensive woman is 34 weeks gestation develops
hypertension and proteinuria. Her diagnosis would be
a. gestational hypertension
, b. preeclampsia
c. pregnancy induced hypertension (PIH)
c - answerThe goal of treatment of gestational diabetes is to decrease the likelihood of
fetal
a. congenital anomalies
b. growth restriction
c. macrosomia
b - answerThe customary recommendation for the timing of laboratory screening to
detect gestational diabetes in the low risk woman is
a. 12-16 weeks
b. 24-28 weeks
c. 32-36 weeks
b - answerWoman with gestational diabetes are at a higher risk for developing
a. gestational trophoblastic disease
b. hypertension
c. placenta previa
c - answerWhich one of the cardiac conditions listed below has the highest rate of
maternal mortality
a. atrial septal defect
b. mitral stenosis
c. pulmonary hypertension
c - answerThe time during labor and birth that is of greatest risk for woman with a
cardiac condition is
a. active phase of labor
b. second stage of birth
c. immediately after birth
c - answerThe medication that is contraindicated in women with a cardia condition
a. hydralazine (apresoline)
b. oxytocin
c. terbutaline
a - answerWhich one of the following infections does not cross the placenta?
a. Neisseria gonorrhea
b. HIV
c. Syphyllis
c - answerPhysiologic anemia of pregnancy occurs due to
a. decreased iron stores due to an inadequate diet rich in iron foods
b. inadequate intake of folic acid preconceptionally
c. proportionately greater increase in plasma that red cell volume
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