Chapter 11 Study Q's

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: a) mother's age. b) number of years since diabetes was diagnosed. c) amount of insulin required prenatally. d) degree of glycemic control during pregnancy.

d) 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: a) oral hypoglycemic agents are the first line of treatment. b) dietary modifications and insulin are both required for adequate treatment. c) glucose levels are monitored by testing urine 4 times a day and at bedtime. d) dietary management involves distributing nutrient requirements over three meals and two or three snacks.

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

The nurse is caring for a woman with mitral stenosis who is in the active stage. Which action should the nurse take to promote cardiac function? a) Maintain the woman in a side-lying position with the head and shoulders elevated to facilitate hemodynamics b) Prepare the woman for delivery by cesarean section since this is the recommended delivery method to sustain hemodynamics c) Encourage the woman to avoid the use of narcotics or epidural regional analgesia since this alters cardiac function d) Promote the use of the Valsalva maneuver during pushing in the second stage to improve diastolic ventricular filling

a) Maintain the woman in a side-lying position with the head and shoulders elevated to facilitate hemodynamics

A woman with diabetes mellitus type 1 is at the clinic for preconception pregnancy. As part of your teaching regarding insulin needs during pregnancy you explain that during the first trimester it is likely that insulin needs will a)Increase b)Decrease c)Stay the same d)We can not predict the likely change

b)Decrease

Maternal and neonatal risks associated with gestational diabetes mellitus are: a) maternal premature rupture of membranes and neonatal sepsis. b) maternal hyperemesis and neonatal low birth weight. c) maternal preeclampsia and fetal macrosomia. d) maternal placenta previa and fetal prematurity.

c) maternal preeclampsia and fetal macrosomia.

During a prenatal visit, the nurse is explaining dietary management to a woman with pregestational diabetes. The nurse evaluates that teaching has been effective when the woman states: a)"I will need to eat 600 more calories per day since I am pregnant." b)"I can continue with the same diet as before pregnancy as long as it is well balanced." c)"Diet and insulin needs change during pregnancy." d)"I will plan my diet based on results of urine glucose testing."

c)"Diet and insulin needs change during pregnancy."

During a physical assessment of an at-risk client, the nurse notes generalized edema, crackles at the base of the lungs, and some pulse irregularity. These are most likely signs of: a) euglycemia. b) rheumatic fever. c) pneumonia. d) cardiac decompensation.

d) cardiac decompensation.