Exam 2 - PLQ 4

The nurse is teaching a client with gestational diabetes about complications that can occur either following birth or at delivery for her baby. 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." Elevated blood sugars delay the maturation of fetal lungs, not increase maturation time, resulting in potential respiratory distress in newborns born to diabetic mothers.

A pregnant woman who has had cardiovascular disease for the last 3 years asks the nurse why this disorder makes her pregnancy an "at-risk" pregnancy. What is the nurse's best response?

"Pregnancy taxes the circulatory system of every woman."

A pregnant woman who has been taking penicillin prophylactically because she had rheumatic fever as a child tells the nurse that she wants to stop taking it now that she is pregnant. Which of the following is the best response by the nurse?

"You should continue taking this drug, because penicillin is not known to be a fetal teratogen."

As a rule, women with cardiac disease need _____ rest periods a day when they are pregnant.

2

The average recommended daily allowance or total caloric intake during pregnancy is _____ calories daily.

2500

A common recommendation to ensure adequate hydration during pregnancy is to drink _____ glasses of fluid daily.

8

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?

Appendicitis

The maternal health nurse cares for a homeless pregnant woman who presented to the emergency room in precipitous labor. The woman has not had prenatal care. Upon delivery, her infant weighs 4.6 kg and notes the infant appears to be jittery. Which nursing action will the nurse perform first?

Check the infant's blood glucose level

At about 16 weeks of pregnancy, the breasts may start secreting _____.

Colostrum

Between her regularly scheduled visits, a woman in her first trimester of pregnancy who is taking iron supplements for anemia calls the nurse at her obstetrician's office reporting constipation. She reports that she has never had this problem before and asks for some advice about how to get relief. What is the best advice the nurse can give her?

Continue taking iron supplements but increase fluids and high-fiber foods; exercise more.

_____ for foods during pregnancy is common.

Cravings

True or False: An orgasm might initiate preterm labor.

False

True or False: Frequent urination is a constant occurrence throughout the entire pregnancy.

False

True or False: The likelihood of deep vein thrombosis leading to pulmonary emboli is highest in women 35 years of age or older.

False, 30 years or older

A good resting or sleep position is the _____ position.

Left sided sim's

A nursing instructor is teaching students about caring for a pregnant patient with a pre-existing disease. Which of the following does the instructor suggest has added to an increased incidence of pregnant women with a pre-existing disease?

More women waiting until after age 30 years to get pregnant

_____ in pregnancy is associated with an increased incidence of gestational diabetes.

Obesity

A nurse precepting a student in labor and delivery informs the student that the incidence of venous thromboembolic disease increases during pregnancy. What does the nurse tell the student contributes to this increased risk? (Select all that apply.)

Stasis of blood in lower extremities Hypercoagulability

A(n) _____ is any factor, chemical or physical, that adversely affects the fertilized ovum, embryo, or fetus.

Teratogenic

True or False: A healthy nutrition plan before pregnancy should supply adequate folic acid.

True

True or False: Lumbar lordosis develops in the later weeks of the pregnancy.

True

True or False: Prenatal vitamins are not necessary if the woman eats a balanced and healthy diet.

True

True or False: There is a strong correlation between poor oral care and preterm birth.

True

True or False: To ensure adequate fetal nutrition, women should not diet during pregnancy.

True

True or False: To prevent iron-deficiency anemia, women should take a prenatal vitamin containing 27 mg of iron.

True

True or False: Women may be safely immunized against influenza during their pregnancy.

True

True or False: Women should obtain their carbohydrate calories from complex carbohydrates rather than simple carbohydrates.

True

True or false: As a rule, the average woman should gain 11.3 to 15.8 kg (25 to 35 lb) during pregnancy.

True

Leukorrhea is a _____ discharge that occurs in response to high estrogen levels.

Vaginal

The best exercise during pregnancy is _____.

Walking

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

A pregnant woman with diabetes at 10 weeks' gestation has a glycosylated hemoglobin (HbA1c) level of 13%. At this time the nurse should be most concerned about which possible fetal outcome?

congenital anomalies