The insulin requirements for most diabetic breastfeeding mom's is:
a. increased
b. decreased
c. same - ANSWER b
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 - ANSWER b
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 - ANSWER a
The cardiac output during pregnancy
a. decreases by 23%
b. Increases by 30-50%
c. remains the same - ANSWER b
What 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?
1
,a. Ace inhibitors
b. Beta Blockers
c. Calcium Channel Blockers - ANSWER a
An 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) - ANSWER a
The primary indication for the use of magnesium sulfate in preeclampsia is
a. lowering the blood pressure
b. prevention of HELLP
c. seizure prophylaxis - ANSWER c
A 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 - ANSWER b
Compared 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 - ANSWER b
The tocolytic that is contraindicated in the diabetic woman is
2
,a. Magnesium Sulfate
b. Nifedipine (Procardia)
Terbutaline (Beta - mimetics) - ANSWER c
Compared to the first trimester, the insulin requirements for the diabetic mother in the third
trimester are
a. greater
b. less
c. the same - ANSWER a
A 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 - ANSWER c
A 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 - ANSWER a
A previously normotensive woman is 34 weeks gestation develops hypertension and
proteinuria. Her diagnosis would be
a. gestational hypertension
b. preeclampsia
3
, c. pregnancy induced hypertension (PIH) - ANSWER a
The goal of treatment of gestational diabetes is to decrease the likelihood of fetal
a. congenital anomalies
b. growth restriction
c. macrosomia - ANSWER c
The 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 - ANSWER b
Woman with gestational diabetes are at a higher risk for developing
a. gestational trophoblastic disease
b. hypertension
c. placenta previa - ANSWER b
Which one of the cardiac conditions listed below has the highest rate of maternal mortality
a. atrial septal defect
b. mitral stenosis
c. pulmonary hypertension - ANSWER c
The 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 - ANSWER c
4
a. increased
b. decreased
c. same - ANSWER b
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 - ANSWER b
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 - ANSWER a
The cardiac output during pregnancy
a. decreases by 23%
b. Increases by 30-50%
c. remains the same - ANSWER b
What 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?
1
,a. Ace inhibitors
b. Beta Blockers
c. Calcium Channel Blockers - ANSWER a
An 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) - ANSWER a
The primary indication for the use of magnesium sulfate in preeclampsia is
a. lowering the blood pressure
b. prevention of HELLP
c. seizure prophylaxis - ANSWER c
A 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 - ANSWER b
Compared 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 - ANSWER b
The tocolytic that is contraindicated in the diabetic woman is
2
,a. Magnesium Sulfate
b. Nifedipine (Procardia)
Terbutaline (Beta - mimetics) - ANSWER c
Compared to the first trimester, the insulin requirements for the diabetic mother in the third
trimester are
a. greater
b. less
c. the same - ANSWER a
A 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 - ANSWER c
A 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 - ANSWER a
A previously normotensive woman is 34 weeks gestation develops hypertension and
proteinuria. Her diagnosis would be
a. gestational hypertension
b. preeclampsia
3
, c. pregnancy induced hypertension (PIH) - ANSWER a
The goal of treatment of gestational diabetes is to decrease the likelihood of fetal
a. congenital anomalies
b. growth restriction
c. macrosomia - ANSWER c
The 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 - ANSWER b
Woman with gestational diabetes are at a higher risk for developing
a. gestational trophoblastic disease
b. hypertension
c. placenta previa - ANSWER b
Which one of the cardiac conditions listed below has the highest rate of maternal mortality
a. atrial septal defect
b. mitral stenosis
c. pulmonary hypertension - ANSWER c
The 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 - ANSWER c
4
