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OB EXAM 3 QUESTIONS WITH CORRECT ANSWERS | LATEST UPDATE 2026/2027 | GRADED A+ | 100% ASSURED PASS.

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OB EXAM 3 QUESTIONS WITH CORRECT ANSWERS | 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 OB EXAM 3 QUESTIONS WITH CORRECT ANSWERS 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 bottlefeeding are accurate statements and signify that the woman has understood the teachings regarding control of her diabetes during pregnancy. Maternal phenylketonuria (PKU) is an important health concern during pregnancy because: a. It is a recognized cause of preterm labor. 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 OB EXAM 3 QUESTIONS WITH CORRECT ANSWERS 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 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 OB EXAM 3 QUESTIONS WITH CORRECT ANSWERS 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 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. OB EXAM 3 QUESTIONS WITH CORRECT ANSWERS b. Congenital anomalies of the central nervous system. c. Preterm birth. d. Low birth weight. - CORRECT ANSWER-ANS: A In terms of the incidence and classification of diabetes, maternity nurses should know that: a. Type 1 diabetes is most common. b. Type 2 diabetes often goes undiagnosed. c. Gestational diabetes mellitus (GDM) means that the woman will be receiving insulin treatment until 6 weeks after birth. d. Type 1 diabetes may become type 2 during pregnancy. - CORRECT ANSWERANS: B Metabolic changes throughout pregnancy that affect glucose and insulin in the mother and the fetus are complicated but important to understand. Nurses should understand that: a. Insulin crosses the placenta to the fetus only in the first trimester, after which the fetus secretes its own. b. Women with insulin-dependent diabetes are prone to hyperglycemia during the first trimester because they are consuming more sugar. OB EXAM 3 QUESTIONS WITH CORRECT ANSWERS c. During the second and third trimesters, pregnancy exerts a diabetogenic effect that ensures an abundant supply of glucose for the fetus. d. Maternal insulin requirements steadily decline during pregnancy. - CORRECT ANSWER-ANS: C Pregnant women develop increased insulin resistance during the second and third trimesters. Insulin never crosses the placenta; the fetus starts making its own insulin around the tenth week. As a result of normal metabolic changes during pregnancy, insulin-dependent women are prone to hypoglycemia (low levels). With regard to the association of maternal diabetes and other risk situations affecting mother and fetus, nurses should be aware that: a. Diabetic ketoacidosis (DKA) can lead to fetal death at any time during pregnancy. b. Hydramnios occurs approximately twice as often in diabetic pregnancies. c. Infections occur about as often and are considered about as serious in diabetic and nondiabetic pregnancies. d. Even mild to moderate hypoglycemic episodes can have significant effects on fetal well-being. - CORRECT ANSWER-ANS: A OB EXAM 3 QUESTIONS WITH CORRECT ANSWERS Thank you for Purchasing this exam Study Guide. We provide high-quality academic materials to help students excel in exams. Our other Services include but not limited to: academic research, University & College assignments writing, essay writing, Online Classes, and research projects. 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OB EXAM 3 QUESTIONS WITH CORRECT ANSWERS
| 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




OB EXAM 3 QUESTIONS WITH CORRECT ANSWERS

,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 bottlefeeding
are accurate statements and
signify that the woman has understood the teachings regarding control of her
diabetes during pregnancy.




Maternal phenylketonuria (PKU) is an important health concern during pregnancy
because:
a. It is a recognized cause of preterm labor.
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




OB EXAM 3 QUESTIONS WITH CORRECT ANSWERS

,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




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




OB EXAM 3 QUESTIONS WITH CORRECT ANSWERS

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