Ch 20 Practice Q's

A pregnant woman with Diabetes is having a glycosylated hemoglobin (HbA1C) drawn, Which result would require the nurse to revise the client's plan of care? a. 8.5% b. 5.5% c. 6.0% d. 7%

a. 8.5%

A pregnant woman with chronic hypertension comes to the clinic. The nurse reviews the clients medication regimen, expecting to find which medication as most commonly prescribes? a. labetalol b. methyldopa c. nifedipine d. atenolol

b. methyldopa

After conducting a refresher class of possible congenital infections with a group of perinatal nurses, the nurse recognizes the class was successful when the group identifies which congenital viral infection as the most common? a. RSV b. CMV c. HPV d. HIV

b. CMV

When dealing with a pregnant adolescent, the nurse assists the client to integrate the tasks of pregnancy while at the same time fostering development of which of the following? a. self-identity b. trust c. autonomy d. dependence

a. self-identity

The nurse is providing care to a neonate whose mother abuses heroine. Which finding would the nurse expect to assess? a. sneezing b. easy consolability c. vigorous sucking d. hypotonicity

a. sneezing

A young mother has tested positive for HIV. When discussing the situation with the client, the nurse should advise the young mother that she should avoid which activity? a. breastfeeding b. caesarean delivery c. handling the infant with open sores d. future pregnancies

a. breastfeeding

The nurse is teaching a pregnant woman with iron deficiency anemia about foods high in iron. Which foods if selected by the woman indicate a successful teaching program? (SATA) a. broccoli b. yogurt c. raisins d. peanut butter e. potatoes f. corn

a. broccoli c. raisins d. peanut butter

The nurse is teaching a pregnant woman with iron deficiency about her prescribed iron supplement. The nurse determines that the teaching was successful when the client states that she will take the supplement with: a. citrus juice b. fiber-rich foods c. coffee d. tea

a. citrus juice

A pregnant woman with sickle anemia comes to the ER in crisis. Which finding would the nurse expect? (SATA) a. fever b. increased skin turgor c. fatigue d. joint pain e. pallor

a. fever d. joint pain

A nurse is conducting a class on Gestational Diabetes for a group of pregnant women who are at risk for the condition. The nurse determines that additional teaching is necessary when the class identifies which complication as affecting the neonate? a. hyperglycemia b. macrosomia c. hypoglycemia d. birth trauma

a. hyperglycemia

A pregnant woman with chronic hypertension comes to the clinic for evaluation. The last several BP readings were gradually increasing. On today's visit her BP is 166/100 mmHg. The health care provider prescribes an antihypertensive agent. The nurse anticipates which agent as being the most commonly prescribed? a. methyldopa b. nifedipine c. labetalol d. atenolol

a. methyldopa

When explaining to a woman about HIV infection and transmission, which of the following would the nurse include? a. It primarily occurs where there is a large viral load in the blood b. HIV is most commonly transmitted via sexual contact c. It affects the majority of infants of mothers with HIV infection d. Nurses are most frequently affected due to needles sticks

b. HIV is most commonly transmitted via sexual contact

Over the past 20 weeks, the following BP readings are documented for a pregnant client with chronic hypertension: Week 16: 124/86 Week 20: 138/90 Week 24: 140/92 Week 28: 142/94 The nurse interprets these findings as indicating which classification of her BP? a. Severe hypertension b. Mild hypertensive c. Prehypertensive d. Normotensive

b. Mild hypertensive

Which of the following would the nurse include when teaching a pregnant woman about the pathophysiological mechanisms associated with gestational diabetes? a. Pregnancy fosters the development of carbohydrate cravings b. There is a progressive resistance to the effects of insulin c. Hypoinsulinemia develops early in the first trimester d. Glucose levels decrease to accommodate fetal growth

b. There is a progressive resistance to the effects of insulin

A woman with Diabetes is in labor. To reduce the likelihood of neonatal hypoglycemia, the nurse monitors the client's blood glucose level closely with the goal to maintain which level? a. below 105 mg/dL b. below 110 mg/dL c. below 120 mg/dL d. below 115 mg/dL

b. below 110 mg/dL

A nurse is reviewing the signs and symptoms of sickle cell crisis with a pregnant woman who had sickle cell anemia. The nurse determines that the teaching was successful when the woman identifies which signs or symptoms? (SATA) a. fatigue b. fever c. increased skin turgor d. pallor e. joint pain

b. fever e. joint pain

Which of the following conditions would most likely cause a pregnant woman with Type I Diabetes the greatest difficulty during her pregnancy? a. placenta previa b. hyperemesis gravidarum c. abruptio placentae d. Rh incompatibility

b. hyperemesis gravidarum

Women who drink alcohol during pregnancy: a. Often produce more alcohol dehydrogenase b. Usually become intoxicated faster than before c. Can give birth to an infant with fetal alcohol spectrum disorder d. Gain fewer pounds throughout the gestation

c. Can give birth to an infant with fetal alcohol spectrum disorder

Maintenance on methadone or buprenorphine is the most common medical treatment for which of the following drug addictions? a. Alcohol b. Nicotine c. Opiates d. Marijuana

c. Opiates

A pregnant woman who is HIV positive comes to the labor and birth unit in labor. When developing the plan of care for this client, which intervention would be most important for the nurse to include? a. educating her about family planning b. preparing the woman for cesarean birth c. adhering to standard precautions d. helping her to choose a newborn feeding method

c. adhering to standard precautions

When providing nutritional counseling of a pregnant woman with Diabetes, the nurse would urge the client to obtain most of her calories from which source? a. protein b. saturated fats c. complex carbs d. unsaturated fats

c. complex carbs

The nurse is providing care to a neonate. Review of the maternal history reveals that the mother is suspected of abusing heroine. The nurse would be alert for which finding when assessing the neonate? a. vigorous sucking b. low, feeble cry c. hypertonicity d. easy consolability

c. hypertonicity

Cytomegalovirus infection can result in different congenital anomalies. It can also be transmitted via different routes. When discussing this infection with a pregnant woman, the nurse integrates understanding that permanent fetal disability can occur with which type of transmission of CMV? a. with any transmission b. during birth transmission c. in utero transmission d. after birth transmission

c. in utero transmission

A pregnant woman in her second trimester comes to the prenatal clinic for a routine visit. She reports that she has a new kitten. The nurse would have the woman evaluated for which infection? a. cytomegalovirus b. parvovirus B19 c. toxoplasmosis d. herpes simplex virus

c. toxoplasmosis

A woman with Systemic Lupus Erythematosus in interested in preconception counseling to discuss her desire to get pregnant. The nurse explains that it would be best if shes symptom free or in remission for how long before attempting to get pregnant? a. 12 months b. 3 months c. 9 months d. 6 months

d. 6 months

A pregnant woman with diabetes is having her glycosylated hemoglobin level evaluated. The nurse determines that the woman's glucose is under control and continues the woman's plan of care based on which result? a. 8.5% b. 8.0 % c. 7.5% d. 6.5%

d. 6.5%

A woman with cardiac disease has come to the office for prenatal counseling. According to the functional classification system developed by the Criteria Committee of the New York Heart Association, the woman would be cautioned against pregnancy based on which category? a. Class III b. Class II c. Class I d. Class IV

d. Class IV

When providing prenatal education to a pregnant woman with asthma, which of the following would be important for the nurse to do? a. Explain that she should avoid steroids during her pregnancy b. Demonstrate how to assess her blood glucose levels c. Teach correct administration of subcutaneous bronchodilators d. Ensure she seeks treatment for any acute exacerbation

d. Ensure she seeks treatment for any acute exacerbation

Women who are obese have a greater risk of developing which of the following during pregnancy? a. Type I Diabetes b. Hypotension c. Low Birth weight infant d. Gestational Diabetes

d. Gestational Diabetes

A nurse is conducting a presentation about prenatal care and preexisting maternal conditions. When discussing the various risks to the mother and infant, the nurse would include information about which condition as the leading cause of intellectual disability in the US? a. pregnancy category X medications b. maternal drug addiction c. genetic anomalies d. fetal alcohol spectrum disorder

d. fetal alcohol spectrum disorder

When developing a plan of care for a pregnant woman who is HIV positive, the nurse recognizes that which measure is essential? a. helping her choose a newborn feeding method b. educating her about family planning c. preparing the woman for cesarean birth d. using Standard Precautions

d. using Standard Precautions

A pregnant client has tested positive for Hep B. when discussing the situation with the client, the nurse explains that her infant should be vaccinated with an initial Hep B vaccine dose at which time? a. within 48 hrs of birth b. within 36 hrs of birth c. within 24 hrs of birth d. within 12 hrs of birth

d. within 12 hrs of birth