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Maternity Exam 2|questions and Answers|100% Scores
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Maternity Exam 2|questions and Answers|100% Scores
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Maternity Exam 2|questions andAnswers|100% Scores
A new mother with which of these disorders would be strongly discouraged
from breastfeeding?
Hyperthyroidism
Phenylketonuria (PKU)
Hypothyroidism
Thyroid storm - -Phenylketonuria (PKU)
- 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. "Insulin dosage will likely need to be increased during the second and
third trimesters."
B. "Insulin needs should return to normal within 7 to 10 days after birth if I
am bottle-feeding."
C. "I will need to increase my insulin dosage during the first 3 months of
pregnancy."
D. "Episodes of hypoglycemia are more likely to occur during the first 3
months." - -C. "I will need to increase my insulin dosage during the first 3
months of pregnancy."
- Screening at 24 weeks of gestation reveals that a pregnant woman has
gestational diabetes mellitus (GDM). In planning her care the nurse and the
woman mutually agree that an expected outcome is to prevent injury to the
fetus as a result of GDM. The nurse identifies that the fetus is at greatest risk
for:
Preterm birth.
Macrosomia.
Congenital anomalies of the central nervous system.
Low birth weight. - -Macrosomia.
- The nurse providing care for a woman with gestational diabetes
understands that a laboratory test for glycosylated hemoglobin Alc:
A. Would be considered evidence of good diabetes control with a result of
5% to 6%.
B. Is now done for all pregnant women, not just those with or likely to have
diabetes.
C. Is a snapshot of glucose control at the moment.
, D. Is done on the patient's urine, not her blood. - -A. Would be considered
evidence of good diabetes control with a result of 5% to 6%.
- The nurse caring for pregnant women must be aware that the most
common medical complication of pregnancy is:
Hemorrhagic complications.
Infections.
Hypertension.
Hyperemesis gravidarum. - -Hypertension.
- Women with hyperemesis gravidarum:
A. Need intravenous (IV) fluid and nutrition for most of their pregnancy.
B. Are a majority, because 70% of all pregnant women suffer from it at some
time.
C. Have vomiting severe and persistent enough to cause weight loss,
dehydration, and electrolyte imbalance.
D. Often inspire similar, milder symptoms in their male partners and
mothers. - -C. Have vomiting severe and persistent enough to cause weight
loss, dehydration, and electrolyte imbalance.
- A primigravida is being monitored in her prenatal clinic for preeclampsia.
What finding should concern her nurse?
Pitting pedal edema at the end of the day
Weight gain of 0.5 kg during the past 2 weeks
Blood pressure (BP) increase to 138/86 mm Hg
A dipstick value of 3+ for protein in her urine - -A dipstick value of 3+ for
protein in her urine
- In caring for an immediate postpartum client, you note petechiae and
oozing from her IV site. You would monitor her closely for the clotting
disorder:
Hemorrhage
HELLP syndrome
Disseminated intravascular coagulation (DIC)
Amniotic fluid embolism (AFE) - -Disseminated intravascular coagulation
(DIC)
- Nurses should be aware that HELLP syndrome:
A. Is characterized by hemolysis, elevated liver enzymes, and low platelets.
B. Is associated with preterm labor but not perinatal mortality.
C. Is a mild form of preeclampsia.
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