Question 1

A major concern for the diabetic patient who is pregnant is the effect her blood glucose control has on the fetus.The fetus is totally dependent on the mother for this control because insulin:

Accepted Answer

Insulin will not cross the placenta,but high glucose levels do.

Question 2

During prenatal visits,the nurse keeps a record of a patient's blood pressure to identify:

Accepted Answer

Blood pressure should be assessed routinely during pregnancy,because symptoms of gestational hypertension include hypertension.

Question 3

When a patient is diagnosed with gestational diabetes,the nurse cautions that a major complication is that during the early pregnancy the fetus suffers from:

Accepted Answer

A result of gestational diabetes is sustained fetal hyperglycemia during the early months of pregnancy.

Question 4

A patient is admitted to the hospital with signs of an ectopic pregnancy.The nurse modifies the care plan to include:

Accepted Answer

An ectopic implantation occurs somewhere outside the uterus and either resolves itself in a spontaneous abortion or requires surgical intervention.

Question 5

A patient was admitted following a spontaneous abortion.When attempting to console the patient,the nurse tells her the percentage of first trimester pregnancies that abort is:

Accepted Answer

It is estimated that 10% to 15% of first-trimester pregnancies end in spontaneous abortion.

Question 6

A pregnant woman visits a clinic visit during her 21st week of pregnancy.The nurse identifies edema,hypertension,and proteinuria.The nurse recognizes these signs as indicative of a(n):

Accepted Answer

Gestational hypertension (GH),formerly referred to as pregnancy-induced hypertension (PIH),is a disease encountered during pregnancy or early in the puerperium,characterized by increasing hypertension,proteinuria,and generalized edema.These signs generally appear after the 20th week of pregnancy.

Question 7

A patient is admitted to the hospital with hyperemesis gravidarum.The patient is malnourished and severely dehydrated.The nurse alters the care plan to include interventions for:

Accepted Answer

Medical treatment is aimed at meeting nutritional needs and electrolyte replacement.

Question 8

When assessing the woman who is pregnant with multiple fetuses,the nurse recognizes that the delivery will probably be:

Accepted Answer

Maternal and infant risks are increased when there are multiple fetuses because the delivery will probably be cesarean because labor will be complicated due to loss of uterine tone.

Question 9

When discussing toxoplasmosis infection during pregnancy,the nurse should caution the patient to avoid:

Accepted Answer

A pregnant woman should wear gloves whenever having contact with cat feces as this is a possible source of infection.

Question 10

When assessing a newly admitted pregnant patient,the nurse identifies a history of rheumatic heart disease.To prevent further stress on the heart,the nurse anticipates a protocol of:

Accepted Answer

Iron intake must be adequate to prevent anemia,which will further stress the heart.

Question 11

A pregnant woman comes to the hospital 3 weeks before her estimated date of birth (EDB)complaining of severe pain and a rigid abdomen.The nurse recognizes these as signs and symptoms of:

Accepted Answer

The major symptoms of abruptio placentae are severe pain and a rigid abdomen.

Question 12

During an antepartum visit,the nurse tells the mother that one sign that must be reported immediately,no matter what the stage of pregnancy,is:

Accepted Answer

Women should be instructed to contact their physician if any bleeding occurs during pregnancy.

Question 13

A patient with hyperemesis gravidarum asks the nurse what would have happened if she had not come to the hospital.The nurse explains that if untreated,this condition could result in:

Accepted Answer

If untreated,hyperemesis gravidarum can result in maternal or fetal death.

Question 14

The nurse is assessing a "kick count" for a patient with gestational hypertension.A serious cause for concern is a count of fewer than:

Accepted Answer

A kick count of fewer than three is considered serious.

Question 15

A 14-year-old pregnant adolescent arrives at the hospital in early labor.The nurse recognizes that because the adolescent is still growing,she is at greater risk for:

Accepted Answer

There are several physiological concerns for pregnant adolescents,including cephalopelvic disproportion.

Question 16

A pregnant patient who has type 2 diabetes (NIDDM)may require insulin.When the patient asks the nurse why this is necessary,the nurse responds that:

Accepted Answer

Oral hypoglycemics are discontinued because of teratogenic effects.

Question 17

A patient presents with symptoms of abruptio placentae.To facilitate uterine-placental perfusion,the nurse positions the patient in:

Accepted Answer

A side-lying position facilitates uterine-placental perfusion.

Question 18

A patient in her second trimester of pregnancy arrives at the hospital complaining of bright red,painless vaginal bleeding.Based on this information,the nurse suspects a(n):

Accepted Answer

Placenta previa consists of bright red painless vaginal bleeding occurring after 20 weeks of pregnancy.

Question 19

A patient who has been diagnosed with gestational hypertension asks the nurse what caused it.The nurse explains that there are many theories,but the cause is:

Accepted Answer

The cause of gestational hypertension is unknown.

Question 20

The nurse uses a picture to explain that twins who share a placenta,come from one fertilized ovum,and are identical are identified as:

Accepted Answer

Monozygotic twins originate from one fertilized ovum and share a placenta.

Quiz 28: Care of the High-Risk Mother, Newborn, and Family with Special Needs