RICCI CHAPTER 20 - TEST BANK - 4TH
EDITION QUESTIONS AND ANSWERS
1. 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 Answers -Answer: C
Rationale: 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.
2. A pregnant woman with diabetes at 10 weeks' gestation has a glycosylated
hemoglobin
(HbA1c) 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 Answers -Answer: A
Rationale: 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).
19. A pregnant woman comes to the clinic for her first evaluation. The woman is
screened for
, hepatitis B (HBV) and tests positive. The nurse would anticipate administering which
agent?
A. HBV immune globulin
B. HBV vaccine
C. acylcovir
D. valacyclovir - Correct Answers -Answer: A
Rationale: If a woman tests positive for HBV, expect to administer HBV immune
globulin. The
newborn will also receive HBV vaccine within 12 hours of birth. Acyclovir or valacyclovir
would be used to treat herpes simplex virus infection.
20. After teaching a pregnant woman with iron deficiency anemia about nutrition, the
nurse
determines that the teaching was successful when the woman identifies which foods as
being
good sources of iron in her diet? Select all that apply.
A. dried fruits
B. peanut butter
C. meats
D. milk
E. white bread - Correct Answers -Answer: A, B, C
Rationale: Foods high in iron include meats, green leafy vegetables, legumes, dried
fruits, whole
grains, peanut butter, bean dip, whole-wheat fortified breads, and cereals.
3. 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 Answers -Answer: A
Rationale: 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.
4. Assessment of a pregnant woman and her fetus reveals tachycardia and
hypertension. There is
EDITION QUESTIONS AND ANSWERS
1. 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 Answers -Answer: C
Rationale: 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.
2. A pregnant woman with diabetes at 10 weeks' gestation has a glycosylated
hemoglobin
(HbA1c) 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 Answers -Answer: A
Rationale: 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).
19. A pregnant woman comes to the clinic for her first evaluation. The woman is
screened for
, hepatitis B (HBV) and tests positive. The nurse would anticipate administering which
agent?
A. HBV immune globulin
B. HBV vaccine
C. acylcovir
D. valacyclovir - Correct Answers -Answer: A
Rationale: If a woman tests positive for HBV, expect to administer HBV immune
globulin. The
newborn will also receive HBV vaccine within 12 hours of birth. Acyclovir or valacyclovir
would be used to treat herpes simplex virus infection.
20. After teaching a pregnant woman with iron deficiency anemia about nutrition, the
nurse
determines that the teaching was successful when the woman identifies which foods as
being
good sources of iron in her diet? Select all that apply.
A. dried fruits
B. peanut butter
C. meats
D. milk
E. white bread - Correct Answers -Answer: A, B, C
Rationale: Foods high in iron include meats, green leafy vegetables, legumes, dried
fruits, whole
grains, peanut butter, bean dip, whole-wheat fortified breads, and cereals.
3. 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 Answers -Answer: A
Rationale: 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.
4. Assessment of a pregnant woman and her fetus reveals tachycardia and
hypertension. There is
