Essentials of Maternity,
Newborn, and Women's
Health Nursing 5th
Edition Chapter 20 Exam
Questions with Correct
Answers
petel petish [Date] [Course title]
,The nurse is teaching a pregnant woman with type 1 diabetes about her diet
during pregnancy. Which client statement indicates that the nurse's teaching
was successful?
A. "I'll basically follow the same diet that I was following before I became
pregnant."
B. "Because I need extra protein, I'll have to increase my intake of milk and
meat."
C. "Pregnancy affects insulin production, so I'll need to make adjustments in
my diet."
D. "I'll adjust my diet and insulin based on the results of my urine tests for
glucose." - correct answer: C. "Pregnancy affects insulin production, so I'll
need to make adjustments in my diet."
In pregnancy, placental hormones cause insulin resistance at a level that
tends to parallel growth of the fetoplacental unit. Nutritional management
focuses on maintaining balanced glucose levels. Thus, the woman will
probably need to make adjustments in her diet.
Protein needs increase during pregnancy, but this is unrelated to diabetes.
Blood glucose monitoring results typically guide therapy.
A pregnant woman with diabetes at 10 weeks' gestation has a glycosylated
hemoglobin (HbA1c....remember A1C is 3 month Blood Sugar Audit...want
BELOW 5.7%) level of 13%. At this time the nurse should be most concerned
about which possible fetal outcome?
A. congenital anomalies
B. incompetent cervix
C. placenta previa
D. placental abruption (abruptio placentae) - correct answer: A. congenital
anomalies
, A HbA1c level of 13% indicates poor glucose control. This, in conjunction with
the woman being in the first trimester, increases the risk for congenital
anomalies in the fetus. Elevated glucose levels are not associated with
incompetent cervix, placenta previa, or placental
abruption (abruptio placentae).
A nurse is conducting a review class for a group of perinatal nurses working
at the local clinic. The clinic sees a high population of women who are HIV
positive. After discussing the recommendations for antiretroviral therapy with
the group, the nurse determines that the teaching was successful when the
group identifies which rationale as the underlying principle for the therapy?
A. reduction in viral loads in the blood
B. treatment of opportunistic infections
C. adjunct therapy to radiation and chemotherapy
D. can cure acute HIV/AIDS infections - correct answer: A. reduction in viral
loads in the blood
Drug therapy is the mainstay of treatment and is important in reducing the
viral load as much as possible. Antiretroviral agents do not treat
opportunistic infections and are not adjunctive therapy. There is no cure for
HIV/AIDS.
Assessment of a pregnant woman and her fetus reveals tachycardia and
hypertension. There is also evidence suggesting vasoconstriction. The nurse
would question the woman about use of which substance?
A. marijuana
B. alcohol
C. heroin
D. cocaine - correct answer: D. cocaine
Newborn, and Women's
Health Nursing 5th
Edition Chapter 20 Exam
Questions with Correct
Answers
petel petish [Date] [Course title]
,The nurse is teaching a pregnant woman with type 1 diabetes about her diet
during pregnancy. Which client statement indicates that the nurse's teaching
was successful?
A. "I'll basically follow the same diet that I was following before I became
pregnant."
B. "Because I need extra protein, I'll have to increase my intake of milk and
meat."
C. "Pregnancy affects insulin production, so I'll need to make adjustments in
my diet."
D. "I'll adjust my diet and insulin based on the results of my urine tests for
glucose." - correct answer: C. "Pregnancy affects insulin production, so I'll
need to make adjustments in my diet."
In pregnancy, placental hormones cause insulin resistance at a level that
tends to parallel growth of the fetoplacental unit. Nutritional management
focuses on maintaining balanced glucose levels. Thus, the woman will
probably need to make adjustments in her diet.
Protein needs increase during pregnancy, but this is unrelated to diabetes.
Blood glucose monitoring results typically guide therapy.
A pregnant woman with diabetes at 10 weeks' gestation has a glycosylated
hemoglobin (HbA1c....remember A1C is 3 month Blood Sugar Audit...want
BELOW 5.7%) level of 13%. At this time the nurse should be most concerned
about which possible fetal outcome?
A. congenital anomalies
B. incompetent cervix
C. placenta previa
D. placental abruption (abruptio placentae) - correct answer: A. congenital
anomalies
, A HbA1c level of 13% indicates poor glucose control. This, in conjunction with
the woman being in the first trimester, increases the risk for congenital
anomalies in the fetus. Elevated glucose levels are not associated with
incompetent cervix, placenta previa, or placental
abruption (abruptio placentae).
A nurse is conducting a review class for a group of perinatal nurses working
at the local clinic. The clinic sees a high population of women who are HIV
positive. After discussing the recommendations for antiretroviral therapy with
the group, the nurse determines that the teaching was successful when the
group identifies which rationale as the underlying principle for the therapy?
A. reduction in viral loads in the blood
B. treatment of opportunistic infections
C. adjunct therapy to radiation and chemotherapy
D. can cure acute HIV/AIDS infections - correct answer: A. reduction in viral
loads in the blood
Drug therapy is the mainstay of treatment and is important in reducing the
viral load as much as possible. Antiretroviral agents do not treat
opportunistic infections and are not adjunctive therapy. There is no cure for
HIV/AIDS.
Assessment of a pregnant woman and her fetus reveals tachycardia and
hypertension. There is also evidence suggesting vasoconstriction. The nurse
would question the woman about use of which substance?
A. marijuana
B. alcohol
C. heroin
D. cocaine - correct answer: D. cocaine
