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5 Cards in this Set

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In planning for the care of a 30 year old with pregestational diabetes, the nurse recognizes that the most important factor affecting pregnancy outcome is the:
a) Mothers age
b) Number of years since diabetes was diagnosed
c) Amount of insulin required prenatally
d) Degree of glycemic control during pregnancy
Degree of glycemic control during pregnancy
Diabetes in pregnancy puts the fetus at risk in several ways. Nurses should be aware that:
a) With good control of maternal glucose levels, sudden and unexplained stillbirth is no longer a major concern
b) The most important cause of perinatal loss in diabetic pregnancy is congenital malformations
c) Infants of mothers with diabetes have the same risks for respiratory distress syndrome because of the careful monitoring
d) At birth, the neonate of a diabetic mother is no longer in any greater risk
The most important cause of perinatal loss in diabetic pregnancy is congenital malformations
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 agens can be used if the woman is reluctant to give herself insulin
b) Dietary modifications and insulin are both required for adequate treatment
c) Glucose levels are monitored by testing urine four times a day and at bedtime
d) Dietaty management involves distributing nutrient requirements over three meals and two or three snacks a day
Dietary management involves distributing nutrient -requirements over three meals and two or three snacks
Hypothyroidism occurs in 2 to 3 pregnancies per 1000. Pregnant women with untreated hypothyroidism are at risk for all except:
a) Miscarriage
b) Macrosomia
c) Gestational hypertension
d) Placental abruption
Macrosomia
A pregant woman at 14 weeks of gestation is admitted to the hospital with a diagnosis of hyperemesis gravidarum. The primary goal of her treatment at this time is to:
a) Rest the gastrointestinal (GI) tract by restricting all oral intake for 48 hours
b) Reduce emotional distress by encouraging the woman to discuss her feelings
c) Reverse fluid, electrolyte, and acid-base imbalances
d) Restore the woman's ability to take and retain oral fluids and foods
Reverse fluid, electrolyte, and acid-base imbalances