NUR 202 EXAM 250 QUESTIONS & CORRECT
ANSWERS LATEST 2026/2027
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
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.
ANSWERS LATEST 2026/2027
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
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.
