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NSG233 EXAM BUNDLE /NSG 233 MED
SURG III EXAM 1,2,3 AND FINAL NEWEST
2025/2026 COMPLETE QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW
VERSION!!
Differentiate the types of diabetes mellitus and their
respective risk factors in pregnancy. - . . ANSWER ✔ ✔1)
type 1 DM - usually have an absolute insulin defiency.
Caused by autoimmune or unknown. Prone to
ketoacidosis.
2) type 2 DM- individuals who are insulin resistant and
usually relative insulin deficiency. Etiology is unknown.
Classic signs polyuria, polydipsia, and polyphagia. Many
people with type 2 are obese or have an increase of fat in
the abdominal area. other risk factors aging, sedentary
lifestyle, hypertension, and prior gestational diabetes.
3) Pregestational diabetes - is the label sometimes given to
type 1 or 2 diabetes that existed before pregnancy.
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4) GDM - is any degree of glucose intolerance with its
onset or first recognition during pregnancy.
Compare insulin requirements during pregnancy, the
postpartum period, and lactation. - . . ANSWER ✔ ✔A)
first trimester - Insulin need is reduced because of
increased insulin production by the pancreas and
increased peripheral sensitivity; nausea, vomiting, and
decreased food intake by mother and glucose transfer to
embryo/fetus contributes to hypoglycemia.
B) Second trimester: Insulin need increases as placental
hormones, cortisol, and insulinase act as insulin
antagonists, decreasing the effectiveness of insulin.
C)Third trimester: insulin requirements gradually increase
increase until about 36 wks of gestation.
D) Day of delivery: maternal insulin requirement drop
drastically to approach prepregnancy levels.
E) Breastfeeding mother maintains lower insulin
requirements, as much as 25% less than prepregnancy;
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insulin need of nonbreastfeeding mother returns to
prepregnancy levels in 7 to 10 days.
F) at weaning of breastfeeding infant, mother's insulin
need returns to prepregnancy levels.
Identify maternal and fetal risks or complications
associated with diabetes in pregnancy. - . . ANSWER ✔
✔A) Maternal risks/complications: GDM with an A1c > 6
there is a 28% increase in early pregnancy loss. Cesarean
birth - failure to progress or failure of descent. Preterm
birth & labor. Ketoacidosis in 2nd & 3rd trimesters.
Hypoglycemia occurs during sleep early in pregnancy
when hepatic production of glucose is dimished and
peripheral use of glucose is enhanced. Hyadramnios - 10x
more likely. Hypertensive disorders - preeclampsia,
eclampsia. UTI. severe diabetes.
B) Fetal risks/complications - Stillbirth. Congenital
anomalies 6% - 10% increase. CNS defects - anencephaly,
open spina bifida. Cardiac defects - Ventricular septal
defects (VSD) & transposition of the great vessels. Caudal
regression - 200 to 400x due to diabetic mothers.
Macrosomia. Hypoglycemia. Respiratory distress
syndrome. Polycythemia. Hyperbilirubinemia.
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Develop a plan of care for the pregnant woman with
pregestational or gestational diabetes. - . . ANSWER ✔
✔...
Compare the management of a pregnant woman with
hyperthyroidism with one has hypothyroidism. - . .
ANSWER ✔ ✔Hyperthyroidism - Tx propylthiouracil
(PTU), B-Adrenergic blockers, Radioactive iodine must not
be used to diagnose because it compromises the fetal
thyroid. Thyroideectomy
Hypothyroidism - TX Levothyroxine (L-thyroxine
[synthroid])
BOTH: need assistance with coping with the discomforts
and frustrations associated with symptoms of the disorder.
both must adapt and wear appropriate clothing, avoiding
enviromental temperatures that cause them harm, and
stress reduction activities.
EX. hyper- heat intolerance, nervousness, hyperactivity,
weakness, fatigue.
Ex. hypo - cold intolerance.
NSG233 EXAM BUNDLE /NSG 233 MED
SURG III EXAM 1,2,3 AND FINAL NEWEST
2025/2026 COMPLETE QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW
VERSION!!
Differentiate the types of diabetes mellitus and their
respective risk factors in pregnancy. - . . ANSWER ✔ ✔1)
type 1 DM - usually have an absolute insulin defiency.
Caused by autoimmune or unknown. Prone to
ketoacidosis.
2) type 2 DM- individuals who are insulin resistant and
usually relative insulin deficiency. Etiology is unknown.
Classic signs polyuria, polydipsia, and polyphagia. Many
people with type 2 are obese or have an increase of fat in
the abdominal area. other risk factors aging, sedentary
lifestyle, hypertension, and prior gestational diabetes.
3) Pregestational diabetes - is the label sometimes given to
type 1 or 2 diabetes that existed before pregnancy.
,2|Page
4) GDM - is any degree of glucose intolerance with its
onset or first recognition during pregnancy.
Compare insulin requirements during pregnancy, the
postpartum period, and lactation. - . . ANSWER ✔ ✔A)
first trimester - Insulin need is reduced because of
increased insulin production by the pancreas and
increased peripheral sensitivity; nausea, vomiting, and
decreased food intake by mother and glucose transfer to
embryo/fetus contributes to hypoglycemia.
B) Second trimester: Insulin need increases as placental
hormones, cortisol, and insulinase act as insulin
antagonists, decreasing the effectiveness of insulin.
C)Third trimester: insulin requirements gradually increase
increase until about 36 wks of gestation.
D) Day of delivery: maternal insulin requirement drop
drastically to approach prepregnancy levels.
E) Breastfeeding mother maintains lower insulin
requirements, as much as 25% less than prepregnancy;
,3|Page
insulin need of nonbreastfeeding mother returns to
prepregnancy levels in 7 to 10 days.
F) at weaning of breastfeeding infant, mother's insulin
need returns to prepregnancy levels.
Identify maternal and fetal risks or complications
associated with diabetes in pregnancy. - . . ANSWER ✔
✔A) Maternal risks/complications: GDM with an A1c > 6
there is a 28% increase in early pregnancy loss. Cesarean
birth - failure to progress or failure of descent. Preterm
birth & labor. Ketoacidosis in 2nd & 3rd trimesters.
Hypoglycemia occurs during sleep early in pregnancy
when hepatic production of glucose is dimished and
peripheral use of glucose is enhanced. Hyadramnios - 10x
more likely. Hypertensive disorders - preeclampsia,
eclampsia. UTI. severe diabetes.
B) Fetal risks/complications - Stillbirth. Congenital
anomalies 6% - 10% increase. CNS defects - anencephaly,
open spina bifida. Cardiac defects - Ventricular septal
defects (VSD) & transposition of the great vessels. Caudal
regression - 200 to 400x due to diabetic mothers.
Macrosomia. Hypoglycemia. Respiratory distress
syndrome. Polycythemia. Hyperbilirubinemia.
, 4|Page
Develop a plan of care for the pregnant woman with
pregestational or gestational diabetes. - . . ANSWER ✔
✔...
Compare the management of a pregnant woman with
hyperthyroidism with one has hypothyroidism. - . .
ANSWER ✔ ✔Hyperthyroidism - Tx propylthiouracil
(PTU), B-Adrenergic blockers, Radioactive iodine must not
be used to diagnose because it compromises the fetal
thyroid. Thyroideectomy
Hypothyroidism - TX Levothyroxine (L-thyroxine
[synthroid])
BOTH: need assistance with coping with the discomforts
and frustrations associated with symptoms of the disorder.
both must adapt and wear appropriate clothing, avoiding
enviromental temperatures that cause them harm, and
stress reduction activities.
EX. hyper- heat intolerance, nervousness, hyperactivity,
weakness, fatigue.
Ex. hypo - cold intolerance.
