| LATEST UPDATE 2026/2027 | GRADED A+ | 100%
ASSURED PASS.
In assessing the knowledge of a pregestational woman with type 1 diabetes
concerning changing insulin
needs during pregnancy, the nurse recognizes that further teaching is warranted
when the client states:
a. I will need to increase my insulin dosage during the first 3 months of pregnancy.
b. Insulin dosage will likely need to be increased during the second and third
trimesters.
c. Episodes of hypoglycemia are more likely to occur during the first 3 months.
d. Insulin needs should return to normal within 7 to 10 days after birth if I am
bottle-feeding. - CORRECT ANSWER-ANS: A
Insulin needs are reduced in the first trimester because of increased insulin
production by the pancreas and
increased peripheral sensitivity to insulin. Insulin dosage will likely need to be
increased during the second and
third trimesters, Episodes of hypoglycemia are more likely to occur during the first
3 months, and Insulin
needs should return to normal within 7 to 10 days after birth if I am bottle-
feeding are accurate statements and
signify that the woman has understood the teachings regarding control of her
diabetes during pregnancy.
OB EXAM 3 QUESTIONS WITH CORRECT ANSWERS
,Preconception counseling is critical to the outcome of diabetic pregnancies
because poor glycemic control
before and during early pregnancy is associated with:
a. Frequent episodes of maternal hypoglycemia.
b. Congenital anomalies in the fetus.
c. Polyhydramnios.
d. Hyperemesis gravidarum. - CORRECT ANSWER-ANS: B
A 26-year-old primigravida has come to the clinic for her regular prenatal visit at
12 weeks. She appears thin
and somewhat nervous. She reports that she eats a well-balanced diet, although
her weight is 5 pounds less
than it was at her last visit. The results of laboratory studies confirm that she has
a hyperthyroid condition. Based on the available data, the nurse formulates a plan
of care. What nursing diagnosis is most appropriate for
the woman at this time?
a. Deficient fluid volume
b. Imbalanced nutrition: less than body requirements
c. Imbalanced nutrition: more than body requirements
d. Disturbed sleep pattern - CORRECT ANSWER-ANS: B
Maternal phenylketonuria (PKU) is an important health concern during pregnancy
because:
a. It is a recognized cause of preterm labor.
OB EXAM 3 QUESTIONS WITH CORRECT ANSWERS
,b. The fetus may develop neurologic problems.
c. A pregnant woman is more likely to die without dietary control.
d. Women with PKU are usually retarded and should not reproduce. - CORRECT
ANSWER-ANS: B
Concerning the use and abuse of legal drugs or substances, nurses should be
aware that:
a. Although cigarette smoking causes a number of health problems, it has little
direct effect on
maternity-related health.
b. Caucasian women are more likely to experience alcohol-related problems.
c. Coffee is a stimulant that can interrupt body functions and has been related to
birth defects.
d. Prescription psychotherapeutic drugs taken by the mother do not affect the
fetus; otherwise, they
would not have been prescribed. - CORRECT ANSWER-ANS: B
African-American and poor women are more likely to use illicit substances,
particularly cocaine, whereas
Caucasian and educated women are more likely to use alcohol.
Cigarette smoking impairs fertility and is a cause of low birth weight. Caffeine
consumption has not been
related to birth defects. Psychotherapeutic drugs have some effect on the fetus,
and that risk must be weighed
against their benefit to the mother.
OB EXAM 3 QUESTIONS WITH CORRECT ANSWERS
, 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. Mothers age.
b. Number of years since diabetes was diagnosed.
c. Amount of insulin required prenatally.
d. Degree of glycemic control during pregnancy. - CORRECT ANSWER-ANS: D
Screening at 24 weeks of gestation reveals that a pregnant woman has gestational
diabetes mellitus (GDM).
In planning her care, the nurse and the woman mutually agree that an expected
outcome is to prevent injury to
the fetus as a result of GDM. The nurse identifies that the fetus is at greatest risk
for:
a. Macrosomia.
b. Congenital anomalies of the central nervous system.
c. Preterm birth.
d. Low birth weight. - CORRECT ANSWER-ANS: A
Poor glycemic control later in pregnancy increases the rate of fetal macrosomia.
Poor glycemic control during
the preconception time frame and into the early weeks of the pregnancy is
associated with congenital
OB EXAM 3 QUESTIONS WITH CORRECT ANSWERS