OB Chapter 20

A woman who had pulmonary tuberculosis a year ago is now pregnant. Which of the following instructions would you include in her teaching plan?

Maintain a high intake of calcium.

A woman develops gestational diabetes. Which of the following assessments should she make daily?

Measure serum for glucose level by a finger prick.

An alert, diabetic, pregnant woman in the hospital experiences some shakiness and diaphoresis with a fasting blood sugar of 60 mg/dl when she awakens in the morning. Which action should the nurse take first?

Administer the patient's glucose tablets.

You encourage a woman with gestational diabetes to maintain an active exercise period during pregnancy. Prior to this exercise period, you would advise her to do which of the following?

Eat a sustaining-carbohydrate snack

About which type of insulin should the nurse be prepared to provide educational information to a woman with gestational diabetes?

Humulin (synthetic) insulin

For which of the following problems would the nurse be alert in a pregnant woman with gestational diabetes?

Hydramnios related to glucose/insulin imbalance

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

Less effective than normal

A pregnant woman diagnosed with diabetes should be instructed to do which of the following?

Notify the physician if unable to eat because of nausea and vomiting.

A woman with an artificial mitral valve develops heart failure at the 20th week of pregnancy. Which of the following measures would you stress with her during the remainder of the pregnancy?

Obtaining enough rest

The nurse explains to a pregnant patient that she will need to take iron during her pregnancy after being diagnosed with iron-deficiency anemia. The nurse suggests that absorption of the supplemental iron can be increased by taking it with which of the following?

Orange juice

Which medication would you expect to see prescribed for a pregnant woman with an artificial heart valve shortly before or during labor?

Penicillin

A woman is pregnant and has asthma. Her physician has told her to continue taking prednisone during pregnancy, but she is concerned the drug may be teratogenic. What advice would be best to give her regarding this?

Prednisone is considered safe in the doses prescribed by her physician.

A 17-year-old primigravida is at 37 weeks gestation. During her pregnancy, she has not monitored her blood sugar. She is discussing her delivery options for the infant. The provider suspects the infant has macrosomia. Which of the following should the nurse anticipate?

Prepare for amniocentesis and assessment of fetal lung maturity.

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?

Sickle cell anemia is recessively inherited

When caring for a pregnant woman with cardiac problems, the nurse must be alert for signs and symptoms of cardiac decompensation (congestive heart failure), which include

increased urinary output, tachycardia, dry cough.