NUR 202 (Latest 2024 / 2025 Update) Maternal Newborn Nursing | Questions and Verified Answers 100% Correct | Grade A - Fortis
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NUR 202
NUR 202 (Latest 2024 / 2025 Update) Maternal
Newborn Nursing | Questions and Verified Answers 100%
Correct | Grade A - Fortis
Concerning the use and abuse of legal drugs or substances, nurses should be aware
that:
a. Although cigarette smoking causes a number of health proble...
NUR 202 (Latest Update) Maternal-
Newborn Nursing | Questions and Verified Answers 100%
Correct | Grade A - Fortis
Concerning the use and abuse of legal drugs or substances, nurses should be aware
that:
a. Although cigarette smoking causes a number of health problems, it has little direct
effect on maternity-related health.
b. Caucasian women are more likely to experience alcohol-related problems.
c. Coffee is a stimulant that can interrupt body functions and has been related to birth
defects.
d. Prescription psychotherapeutic drugs taken by the mother do not affect the fetus;
otherwise, they would not have been prescribed. - ANSWER b
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:
a. Macrosomia.
b. Congenital anomalies of the central nervous system.
c. Preterm birth.
d. Low birth weight. - ANSWER a
A 26-year-old primigravida has come to the clinic for her regular prenatal visit at 12
weeks. She appears thin and somewhat nervous. She reports that she eats a well-
balanced diet, although her weight is 5 pounds less than it was at her last visit. The
results of laboratory studies confirm that she has a hyperthyroid condition. Based on the
available data, the nurse formulates a plan of care. What nursing diagnosis is most
appropriate for the woman at this time?
a. Deficient fluid volume
b. Imbalanced nutrition: less than body requirements
c. Imbalanced nutrition: more than body requirements
d. Disturbed sleep pattern - ANSWER b
Maternal phenylketonuria (PKU) is an important health concern during pregnancy
because:
a. It is a recognized cause of preterm labor.
b. The fetus may develop neurologic problems.
c. A pregnant woman is more likely to die without dietary control.
d. Women with PKU are usually retarded and should not reproduce. - ANSWER b
, In terms of the incidence and classification of diabetes, maternity nurses should know
that:
a. Type 1 diabetes is most common.
b. Type 2 diabetes often goes undiagnosed.
c. Gestational diabetes mellitus (GDM) means that the woman will be receiving insulin
treatment until 6 weeks after birth.
d. Type 1 diabetes may become type 2 during pregnancy. - ANSWER b
Metabolic changes throughout pregnancy that affect glucose and insulin in the mother
and the fetus are complicated but important to understand. Nurses should understand
that:
a. Insulin crosses the placenta to the fetus only in the first trimester, after which the
fetus secretes its own.
b. Women with insulin-dependent diabetes are prone to hyperglycemia during the first
trimester because they are consuming more sugar.
c. During the second and third trimesters, pregnancy exerts a diabetogenic effect that
ensures an abundant supply of glucose for the fetus.
d. Maternal insulin requirements steadily decline during pregnancy. - ANSWER c
With regard to the association of maternal diabetes and other risk situations affecting
mother and fetus, nurses should be aware that:
a. Diabetic ketoacidosis (DKA) can lead to fetal death at any time during pregnancy.
b. Hydramnios occurs approximately twice as often in diabetic pregnancies.
c. Infections occur about as often and are considered about as serious in diabetic and
nondiabetic pregnancies.
d. Even mild to moderate hypoglycemic episodes can have significant effects on fetal
well-being. - ANSWER a
Diabetes in pregnancy puts the fetus at risk in several ways. Nurses should be aware
that:
a. With good control of maternal glucose levels, sudden and unexplained stillbirth is no
longer a major concern.
b. The most important cause of perinatal loss in diabetic pregnancy is congenital
malformations.
c. Infants of mothers with diabetes have the same risks for respiratory distress
syndrome because of the careful monitoring.
d. At birth the neonate of a diabetic mother is no longer in any risk. - ANSWER b
The nurse providing care for a woman with gestational diabetes understands that a
laboratory test for glycosylated hemoglobin Alc:
a. Is now done for all pregnant women, not just those with or likely to have diabetes.
b. Is a snapshot of glucose control at the moment.
c. Would be considered evidence of good diabetes control with a result of 5% to 6%.
d. Is done on the patient's urine, not her blood. - ANSWER c
, A woman with gestational diabetes has had little or no experience reading and
interpreting glucose levels. She shows the nurse her readings for the past few days.
Which one should the nurse tell her indicates a need for adjustment (insulin or sugar)?
a. 75 mg/dL before lunch. This is low; better eat now.
b. 115 mg/dL 1 hour after lunch. This is a little high; maybe eat a little less next time.
c. 115 mg/dL 2 hours after lunch; This is too high; it is time for insulin.
d. 60 mg/dL just after waking up from a nap. This is too low; maybe eat a snack before
going to sleep. - ANSWER d
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 a
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 b
In planning for the care of a 30-year-old woman with pregestational diabetes, the nurse
recognizes that the most important factor affecting pregnancy outcome is the:
a. Mother's age.
b. Number of years since diabetes was diagnosed.
c. Amount of insulin required prenatally.
d. Degree of glycemic control during pregnancy. - ANSWER d
A new mother with which of these thyroid disorders would be strongly discouraged from
breastfeeding?
a. Hyperthyroidism c. Hypothyroidism
b. Phenylketonuria (PKU) d. Thyroid storm - ANSWER b
An 18-year-old client who has reached 16 weeks of gestation was recently diagnosed
with pregestational diabetes. She attends her centering appointment accompanied by
one of her girlfriends. This young woman appears more concerned about how her
pregnancy will affect her social life than about her recent diagnosis of diabetes. Several
nursing diagnoses are applicable to assist in planning adequate care. The most
appropriate diagnosis at this time is:
, a. Risk for injury to the fetus related to birth trauma.
b. Noncompliance related to lack of understanding of diabetes and pregnancy and
requirements of the treatment plan.
c. Deficient knowledge related to insulin administration.
d. Risk for injury to the mother related to hypoglycemia or hyperglycemia. - ANSWER b
When caring for a pregnant woman with cardiac problems, the nurse must be alert for
signs and symptoms of cardiac decompensation, which include:
a. A regular heart rate and hypertension.
b. An increased urinary output, tachycardia, and dry cough.
c. Shortness of breath, bradycardia, and hypertension.
d. Dyspnea; crackles; and an irregular, weak pulse. - ANSWER d
Prophylaxis of subacute bacterial endocarditis is given before and after birth when a
pregnant woman has:
a. Valvular disease. c. Arrhythmias.
b. Congestive heart disease. d. Postmyocardial infarction. - ANSWER a
While providing care in an obstetric setting, the nurse should understand that
postpartum care of the woman with cardiac disease:
a. Is the same as that for any pregnant woman.
b. Includes rest, stool softeners, and monitoring of the effect of activity.
c. Includes ambulating frequently, alternating with active range of motion.
d. Includes limiting visits with the infant to once per day. - ANSWER b
A woman with asthma is experiencing a postpartum hemorrhage. Which drug would not
be used to treat her bleeding because it may exacerbate her asthma?
a. Pitocin
b. Nonsteroidal antiinflammatory drugs (NSAIDs)
c. Hemabate
d. Fentanyl - ANSWER c
The use of methamphetamine (meth) has been described as a significant drug problem
in the United States. In order to provide adequate nursing care to this client population
the nurse must be cognizant that methamphetamine:
a. Is similar to opiates.
b. Is a stimulant with vasoconstrictive characteristics.
c. Should not be discontinued during pregnancy.
d. Is associated with a low rate of relapse. - ANSWER b
Since the gene for cystic fibrosis was identified in 1989, data can be collected for the
purposes of genetic counseling for couples regarding carrier status. According to
statistics, how often does cystic fibrosis occur in Caucasian live births?
a. 1 in 100 c. 1 in 2500
b. 1 in 1200 d. 1 in 3000 - ANSWER d
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