Question 1

A nurse has been invited to speak at a local high school about adolescent pregnancy. When developing the presentation, the nurse would incorporate information related to which of the following? (Select all that apply.)

Accepted Answer

Peer pressure is a significant factor in adolescent sexual activity. Latinas have historically had higher teen birth rates. Loss of self-esteem is a major impact of adolescent pregnancy.

Question 2

A nurse is counseling a pregnant woman with rheumatoid arthritis about medications that can be used during pregnancy. Which drug would the nurse emphasize as being contraindicated at this time?

Accepted Answer

Methotrexate is contraindicated during pregnancy due to its teratogenic effects, which can cause congenital abnormalities and pregnancy loss.

Question 3

A nurse is preparing a teaching program for a group of pregnant women about preventing infections during pregnancy. When describing measures for preventing cytomegalovirus infection, which of the following would the nurse most likely include?

Accepted Answer

Frequent handwashing is a key preventive measure for cytomegalovirus (CMV) infection, especially for pregnant women, as CMV can be spread through contact with bodily fluids of infected individuals. Immunization is not available for CMV, prenatal screening does not prevent infection (though it can identify it), and antibody titer screening helps identify previous exposure rather than prevent new infections.

Question 4

A pregnant woman tests positive for HBV. Which of the following would the nurse expect to administer?

Accepted Answer

The nurse would expect to administer HBV immune globulin to the newborn to provide immediate passive immunity, along with the HBV vaccine to initiate active immunity. However, the question specifically asks what the nurse would expect to administer, and HBV immune globulin is the immediate response for a newborn exposed to HBV.

Question 5

A group of nursing students are preparing a presentation for their class about measures to prevent toxoplasmosis. Which of the following would the students be least likely to include? Select all that apply.

Accepted Answer

Cooking meat to an internal temperature of 140°F is not sufficient to prevent toxoplasmosis; meats need to be cooked to higher temperatures to ensure the parasites are killed.

Question 6

A pregnant woman with gestational diabetes comes to the clinic for a fasting blood glucose level. When reviewing the results, the nurse determines that which result indicates good glucose control?

Accepted Answer

A fasting blood glucose level of 90 mg/dL indicates good glucose control in a pregnant woman with gestational diabetes. The recommended fasting blood glucose levels for pregnant women with gestational diabetes are generally below 95 mg/dL.

Quiz 20: Nursing Management of the Pregnancy at Risk