OB Ch 20 selected health cond. and volun. populations.

Less effective than normal

Which of the following changes in insulin is most likely to occur in a woman during pregnancy?

Preterm birth

Which should the nurse identify as a risk associated with anemia during pregnancy?

• Teach the client meticulous handwashing • Assess hydration status of the client at each visit • Urge the client to drink 8 to 10 glasses of fluid daily

A nurse is caring for a pregnant client with sickle cell anemia. What should the nursing care for the client include? Select all that apply.

8.5%

A pregnant woman with diabetes is having a glycosylated hemoglobin (HbA1C) level drawn. Which result would require the nurse to revise the client's plan of care?

An indurated wheal over 10 mm in diameter appears in 48 to 72 hours.

A pregnant client is screened for tuberculosis during her first prenatal visit. An intradermal injection of purified protein derivative (PPD) of the tuberculin bacilli is given. Which sign would indicate a positive test result?

sneezing

The nurse is providing care to a neonate whose mother abuses heroin. Which of the following would the nurse expect to assess?

Block a vaginal birth

Human papillomavirus (HPV) can cause condylomata acuminata that can develop in clusters on the vulva, within the vagina, on the cervix, or around the anus. What is their risk?

Insulin

When educating a client about pregestational diabetes on how to control blood sugar, the nurse knows there are three main facets to glycemic control. In addition to diet and exercise, which is a main facet?

Perform a hearing screen test

The nurse is caring for a 2-day-old newborn whose mother was diagnosed with cytomegalovirus during the first trimester. On which health care provider order should the nurse place the priority?

• Eat meat cooked to 160°F (71°C) • Avoid cleaning the cat's litter box • Avoid outdoor activities such as gardening

The nurse is caring for a pregnant client who indicates that she is fond of meat, works with children, and has a pet cat. Which instructions should the nurse give this client to prevent toxoplasmosis? Select all that apply.

Swelling of the face

The nurse is caring for a pregnant client who is in her 30th week of gestation and has congenital heart disease. Which should the nurse recognize as a symptom of cardiac decompensation with this client?

False

The nurse should encourage a pregnant client who is taking short-acting insulin for her diabetes to avoid eating after self-administering the insulin.

Sickle cell anemia is recessively inherited.

A woman who has sickle cell anemia asks you if her infant will develop sickle cell disease. You would base your answer on which of the following?

Appendicitis

A client in week 38 of her pregnancy arrives at the emergency room reporting a sharp pain between her umbilicus and the iliac crest in her lower right abdomen that is increasing. She reports having experienced intense nausea and vomiting for the past 3 hours. Given these symptoms, the nurse suspects which of the following conditions?

• Assess for shortness of breath • Assess for a moist cough • Assess for edema and note any pitting • Auscultate heart sounds for abnormalities

A nurse is caring for a client with CVD who has just delivered. What nursing interventions should the nurse perform when caring for this client? Select all that apply.

Small head circumference

A nurse is caring for a newborn with fetal alcohol spectrum disorder. What characteristic of the fetal alcohol spectrum disorder should the nurse assess for in the newborn?

Stressing the positive benefits of a healthy lifestyle

What is the role of the nurse during the preconception counseling of a pregnant client with chronic hypertension?

Using Standard Precautions

When developing a plan of care for a pregnant woman who is HIV-positive and in labor, which of the following is essential?

Low-birth weight

When providing education to a teenage prenatal class, the nurse states that infants born to teenage mothers are more likely to have which of the following?

• Obesity • Hypertension • Previous large for gestational age (LGA) infant

A pregnant client has been diagnosed with gestational diabetes. Which are risk factors for developing gestational diabetes? Select all that apply.

Knowledge of child development

A nurse is caring for a pregnant adolescent client, who is in her first trimester, during a visit to the maternal child clinic. Which important area should the nurse address during assessment of the client?

Assessing for cardiac decompensation

A nurse is caring for a pregnant client with heart disease in a labor unit. Which intervention is most important in the first 48 hours postpartum?

A pregnant woman does not have to worry about contracting new illnesses during pregnancy."

A nursing instructor is teaching students about pre-existing illnesses and how they can complicate a pregnancy. The instructor recognizes a need for further education when one of the students makes which statement?

Methyldopa

A pregnant woman with chronic hypertension comes to the clinic. The nurse reviews the client's medication therapy regimen, expecting to find which medication as most commonly prescribed?

6%

A pregnant woman with type 2 diabetes is scheduled for a laboratory test of glycosylated hemoglobin (HbA1C). What does the nurse tell the patient is a normal level for this test?

• Previous history of spontaneous abortion • Maternal obesity with body mass index more than 35 • Client of African-American lineage

During a routine prenatal check-up, the nurse interviews a pregnant client to identify possible risk factors for developing gestational diabetes. Which of the following would alert the nurse to an increased risk? Select all that apply.