Chapter 11 HESI questions

Hypothyroidism occurs in 2 to 3 pregnancies per 1000. Pregnant women with untreated hypothyroidism are at risk for:

-miscarriage. -gestational hypertension. -placental abruption. -stillbirth

A pregnant woman is being examined by the nurse in the outpatient obstetric clinic. The nurse suspects systemic lupus erythematosus (SLE) after revealing which symptoms?

-Muscle aches -Weight changes -fever

A pregnant woman in her first trimester with a history of epilepsy is transported to the hospital via ambulance after suffering a seizure in a restaurant. The nurse expects which health care provider orders to be included in the plan of care?

-Serum lab levels of medications -Abdominal ultrasounds -Prenatal vitamins with vitamin D

Which opiate causes euphoria, relaxation, drowsiness, and detachment from reality and has possible effects on the pregnancy, including preeclampsia, intrauterine growth restriction, and premature rupture of membranes?

Heroin

Thalassemia is a relatively common anemia in which:

an insufficient amount of hemoglobin is produced to fill the red blood cells (RBCs).

From 4% to 8% of pregnant women have asthma, making it one of the most common preexisting conditions of pregnancy. Severity of symptoms usually peaks:

beginning at 32 weeks of gestation.

During pregnancy, alcohol withdrawal may be treated using:

benzodiazepines.

A pregnant woman with cardiac disease is informed about signs of cardiac decompensation. She should be told that the earliest sign of decompensation is most often:

decreasing energy levels.

In planning for the care of a 30-year-old woman with pregestational diabetes, the nurse recognizes that the most important factor affecting pregnancy outcome is the:

degree of glycemic control during pregnancy.

A pregnant woman at 28 weeks of gestation has been diagnosed with gestational diabetes. The nurse caring for this client understands that:

dietary management involves distributing nutrient requirements over three meals and two or three snacks.

Maternal and neonatal risks associated with gestational diabetes mellitus are:

maternal preeclampsia and fetal macrosomia.

Diabetes in pregnancy puts the fetus at risk in several ways. Nurses should be aware that:

the most important cause of perinatal loss in diabetic pregnancy is congenital malformations.