pu ch 19

When teaching a class of pregnant women about the effects of substance use during pregnancy, the nurse would include which effect?

low-birth-weight infants

During the initial obstetrical clinic visit, the nurse shares with a client that several blood studies will be drawn. What screening is performed for Black women because of the ethnically inherited nature of the disease?

sickle-cell trait or disease

Which factor would contribute to a high-risk pregnancy?

type 1 diabetes

A mother is talking to the nurse and is concerned about managing her asthma while she is pregnant. Which response to the nurse's teaching indicates that the woman needs further instruction?

"I need to begin taking allergy shots like my friend to prevent me from having an allergic reaction this spring."

A pregnant woman is diagnosed with iron-deficiency anemia and is prescribed an iron supplement. After teaching her about the prescribed iron supplement, which statement indicates successful teaching?

"I need to drink plenty of fluids to prevent constipation."

The nurse is teaching a client with gestational diabetes about complications that can occur either following birth or during the birth for the infant. Which statement by the mother indicates that further teaching is needed by the nurse?

"If my blood sugars are elevated, my baby's lungs will mature faster, which is good."

The nurse is teaching a pregnant client with type 2 diabetes about diet during pregnancy. Which client statement indicates that the nurse's teaching was successful?

"Pregnancy affects insulin production, so I will need to make adjustments in my diet."

A client with asthma is confused by her primary care provider continuing her medication while she is pregnant, since she read online the medications can cause birth defects. What is the nurse's best response?

"Your primary care provider will order safe doses of your medication."

A pregnant client asks why a maternal serum alpha-fetoprotein level has been ordered. What should the nurse explain to the client about this test?

It may reveal chromosomal abnormalities.

The nurse is caring for a pregnant client admitted for abdominal trauma following an assault. The nurse will monitor the client for which potential complications?

Spontaneous abortion (miscarriage) Placental abruption (abruptio placentae) Uterine rupture Preterm labor

Which result of a biophysical profile would indicate to the nurse that the fetus might tolerate labor poorly?

a nonreactive nonstress test (NST) low amniotic fluid volume placental grade III

A pregnant woman with a history of mitral valve stenosis is to be prescribed medication as treatment. Which medication class would the nurse expect the client to be prescribed?

anticoagulant

A woman's obstetrician prescribes vitamin K supplements for a client who is on antiepileptic medications beginning at 36 weeks' gestation. The mother asks the nurse why she is taking this medication. The nurse's best response would be:

antiepileptic therapy can lead to vitamin K-deficient hemorrhage of the newborn

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?

assessing for cardiac decompensation

A nurse is teaching a 30-year-old gravida 1 who has sickle cell anemia. Providing education on which topic is the highest nursing priority?

avoidance of infection

The nurse is assessing a pregnant client with a known history of congestive heart failure who is in her third trimester. Which assessment findings should the nurse prioritize?

dyspnea, crackles, and irregular weak pulse

A pregnant client with deep vein thrombosis has been diagnosed as having systemic lupus erythematosus (SLE). The nurse would monitor the client closely for the development of which complication?

fetal malnutrition

A nurse is about to give a client with type 2 diabetes insulin before breakfast on her first day postpartum. Which answer best describes insulin requirements immediately postpartum?

lower than before she became pregnant

A nurse is interviewing a couple at a preconception counseling session. The couple is of Greek heritage and are concerned about the possibility of their children being born with a genetic disorder. Based on the nurse's understanding of genetic disorders, the nurse would identify this couple as being at risk for which condition?

β-thalassemia