Essentials of Maternity, Newborn, and Women's Health Nursing 5th Edit
Chapter 20
Study online at https://quizlet.com/_ed8njb
1. The nurse is teaching a pregnant woman with type 1 diabetes about her diet
during pregnancy. Which client statement indicates that the nurse's teaching
was successful?
A. "I'll basically follow the same diet that I was following before I became
pregnant."
B. "Because I need extra protein, I'll have to increase my intake of milk and
meat."
C. "Pregnancy affects insulin production, so I'll need to make adjustments in
my diet."
D. "I'll adjust my diet and insulin based on the results of my urine tests for glu-
cose.": C. "Pregnancy affects insulin production, so I'll need to make adjustments
in my diet."
In pregnancy, placental hormones cause insulin resistance at a level that tends
to parallel growth of the fetoplacental unit. Nutritional management focuses on
maintaining balanced glucose levels. Thus, the woman will probably need to make
adjustments in her diet.
Protein needs increase during pregnancy, but this is unrelated to diabetes. Blood
glucose monitoring results typically guide therapy.
2. A pregnant woman with diabetes at 10 weeks' gestation has a glycosylated
hemoglobin (HbA1c....remember A1C is 3 month Blood Sugar Audit...want
BELOW 5.7%) level of 13%. At this time the nurse should be most concerned
about which possible fetal outcome?
A. congenital anomalies
B. incompetent cervix
C. placenta previa
D. placental abruption (abruptio placentae): A. congenital anomalies
A HbA1c level of 13% indicates poor glucose control. This, in conjunction with the
woman being in the first trimester, increases the risk for congenital anomalies in the
fetus. Elevated glucose levels are not associated with incompetent cervix, placenta
previa, or placental
abruption (abruptio placentae).
3. A nurse is conducting a review class for a group of perinatal nurses working
at the local clinic. The clinic sees a high population of women who are HIV
positive. After discussing the recommendations for antiretroviral therapy with
, Essentials of Maternity, Newborn, and Women's Health Nursing 5th Edit
Chapter 20
Study online at https://quizlet.com/_ed8njb
the group, the nurse determines that the teaching was successful when the
group identifies which rationale as the underlying principle for the therapy?
A. reduction in viral loads in the blood
B. treatment of opportunistic infections
C. adjunct therapy to radiation and chemotherapy
D. can cure acute HIV/AIDS infections: A. reduction in viral loads in the blood
Drug therapy is the mainstay of treatment and is important in reducing the viral load
as much as possible. Antiretroviral agents do not treat opportunistic infections and
are not adjunctive therapy. There is no cure for HIV/AIDS.
4. Assessment of a pregnant woman and her fetus reveals tachycardia and
hypertension. There is also evidence suggesting vasoconstriction. The nurse
would question the woman about use of which substance?
A. marijuana
B. alcohol
C. heroin
D. cocaine: D. cocaine
Cocaine use produces vasoconstriction, tachycardia, and hypertension in both the
mother and fetus. The effects of marijuana are not yet fully understood. Alcohol
ingestion would lead to cognitive and behavioral problems in the newborn. Heroin is
a central nervous system depressant.
5. When teaching a class of pregnant women about the effects of substance
use during pregnancy, the nurse would include which effect?
A. low-birthweight infants
B. excessive weight gain
C. higher pain tolerance
D. longer gestational periods: A. low-birthweight infants
Substance use during pregnancy is associated with low birth weight infants, preterm
labor, abortion, intrauterine growth restriction, abruptio placentae, neurobehavioral
abnormalities, and long-term childhood developmental consequences. Excessive
weight gain, higher pain tolerance, and longer gestational periods are not associated
with substance use.
Chapter 20
Study online at https://quizlet.com/_ed8njb
1. The nurse is teaching a pregnant woman with type 1 diabetes about her diet
during pregnancy. Which client statement indicates that the nurse's teaching
was successful?
A. "I'll basically follow the same diet that I was following before I became
pregnant."
B. "Because I need extra protein, I'll have to increase my intake of milk and
meat."
C. "Pregnancy affects insulin production, so I'll need to make adjustments in
my diet."
D. "I'll adjust my diet and insulin based on the results of my urine tests for glu-
cose.": C. "Pregnancy affects insulin production, so I'll need to make adjustments
in my diet."
In pregnancy, placental hormones cause insulin resistance at a level that tends
to parallel growth of the fetoplacental unit. Nutritional management focuses on
maintaining balanced glucose levels. Thus, the woman will probably need to make
adjustments in her diet.
Protein needs increase during pregnancy, but this is unrelated to diabetes. Blood
glucose monitoring results typically guide therapy.
2. A pregnant woman with diabetes at 10 weeks' gestation has a glycosylated
hemoglobin (HbA1c....remember A1C is 3 month Blood Sugar Audit...want
BELOW 5.7%) level of 13%. At this time the nurse should be most concerned
about which possible fetal outcome?
A. congenital anomalies
B. incompetent cervix
C. placenta previa
D. placental abruption (abruptio placentae): A. congenital anomalies
A HbA1c level of 13% indicates poor glucose control. This, in conjunction with the
woman being in the first trimester, increases the risk for congenital anomalies in the
fetus. Elevated glucose levels are not associated with incompetent cervix, placenta
previa, or placental
abruption (abruptio placentae).
3. A nurse is conducting a review class for a group of perinatal nurses working
at the local clinic. The clinic sees a high population of women who are HIV
positive. After discussing the recommendations for antiretroviral therapy with
, Essentials of Maternity, Newborn, and Women's Health Nursing 5th Edit
Chapter 20
Study online at https://quizlet.com/_ed8njb
the group, the nurse determines that the teaching was successful when the
group identifies which rationale as the underlying principle for the therapy?
A. reduction in viral loads in the blood
B. treatment of opportunistic infections
C. adjunct therapy to radiation and chemotherapy
D. can cure acute HIV/AIDS infections: A. reduction in viral loads in the blood
Drug therapy is the mainstay of treatment and is important in reducing the viral load
as much as possible. Antiretroviral agents do not treat opportunistic infections and
are not adjunctive therapy. There is no cure for HIV/AIDS.
4. Assessment of a pregnant woman and her fetus reveals tachycardia and
hypertension. There is also evidence suggesting vasoconstriction. The nurse
would question the woman about use of which substance?
A. marijuana
B. alcohol
C. heroin
D. cocaine: D. cocaine
Cocaine use produces vasoconstriction, tachycardia, and hypertension in both the
mother and fetus. The effects of marijuana are not yet fully understood. Alcohol
ingestion would lead to cognitive and behavioral problems in the newborn. Heroin is
a central nervous system depressant.
5. When teaching a class of pregnant women about the effects of substance
use during pregnancy, the nurse would include which effect?
A. low-birthweight infants
B. excessive weight gain
C. higher pain tolerance
D. longer gestational periods: A. low-birthweight infants
Substance use during pregnancy is associated with low birth weight infants, preterm
labor, abortion, intrauterine growth restriction, abruptio placentae, neurobehavioral
abnormalities, and long-term childhood developmental consequences. Excessive
weight gain, higher pain tolerance, and longer gestational periods are not associated
with substance use.
