MATERNAL CHILD NURSING 5TH EDITION
2026 PEDIATRIC NURSING GROWTH
DEVELOPMENT AND FAMILY CENTERED
CARE NOTES SET
◉1
Previous birth of a large infant suggests gestational diabetes
mellitus. A woman younger than 25 is not at risk for gestational
diabetes mellitus. Obesity (greater than 90 kg or 198 lb) creates a
higher risk for gestational diabetes. The person with type 2 diabetes
mellitus already has diabetes and will continue to have it after
pregnancy. Insulin may be required during pregnancy because oral
hypoglycemia drugs are contraindicated during pregnancy.
Test-Taking Tip: Be alert for details. Details provided in the stem of
the item, such as behavioral changes or clinical changes (or both)
within a certain time period, can provide a clue to the most
appropriate response or (in some cases) responses.
Answer: Which factor is known to increase the risk of gestational
diabetes mellitus?
1
,Previous birth of large infant
2
Maternal age younger than 25
3
Underweight before pregnancy
4
Previous diagnosis of type 2 diabetes mellitus
◉3
Symptoms that occur during alcohol withdrawal can be managed
with short-acting barbiturates or benzodiazepines. Disulfiram is
contraindicated in pregnancy because it is teratogenic.
Corticosteroids are not used to treat alcohol withdrawal.
Aminophylline is not used to treat alcohol withdrawal.
Test-Taking Tip: Identify option components as correct or incorrect.
This may help you identify a wrong answer. Example: If you are
being asked to identify a diet that is specific to a certain condition,
your knowledge about that condition would help you choose the
correct response (e.g., cholecystectomy = low-fat, high-protein, low-
calorie diet).
Answer: During pregnancy, alcohol withdrawal may be treated
using:
,1
disulfiram (Antabuse).
2
corticosteroids.
3
benzodiazepines.
4
aminophylline.
◉1
Fetal lung maturation is predicted by the presence by amniotic fluid
phosphatidylglycerol. If it is greater than 3%, the fetal lung
maturation is normal. The risk for hypoglycemia can be confirmed
by evaluating blood glucose levels. The risk for fetal macrosomia is
increased if there is poor glycemic control in pregnancy. If
hyperglycemia occurs, the patient is at risk for hydramnios.
Test-Taking Tip: Survey the test before you start answering the
questions. Plan how to complete the examination in the time
allowed. Read the directions carefully and answer the questions you
know for sure first.
, Answer: The prenatal medical record for a pregnant patient with
diabetes states that amniotic fluid phosphatidylglycerol is greater
than 3%. What does this indicate?
1
The fetal lung maturation is normal.
2
The mother may develop hydramnios.
3
There is a chance of fetal macrosomia.
4
The mother is at risk for hypoglycemia
◉3
The nurse explains the risks of continuing the pregnancy to help the
patient make an informed decision. Fetal surveillance begins after
28 weeks if there are any complications, such as diabetes mellitus, in
the patient. The nurse informs the patient about the complications
that may arise as the pregnancy progresses. If the pregnancy is
continued, the nurse assesses for cardiac decompensation to
evaluate if the heart is able to maintain a sufficient cardiac output.
The nurse does not ask the patient to terminate the pregnancy.
Answer: A patient is diagnosed with severe cardiac disease in the
fourth week of pregnancy. What should be the nurse's priority?
2026 PEDIATRIC NURSING GROWTH
DEVELOPMENT AND FAMILY CENTERED
CARE NOTES SET
◉1
Previous birth of a large infant suggests gestational diabetes
mellitus. A woman younger than 25 is not at risk for gestational
diabetes mellitus. Obesity (greater than 90 kg or 198 lb) creates a
higher risk for gestational diabetes. The person with type 2 diabetes
mellitus already has diabetes and will continue to have it after
pregnancy. Insulin may be required during pregnancy because oral
hypoglycemia drugs are contraindicated during pregnancy.
Test-Taking Tip: Be alert for details. Details provided in the stem of
the item, such as behavioral changes or clinical changes (or both)
within a certain time period, can provide a clue to the most
appropriate response or (in some cases) responses.
Answer: Which factor is known to increase the risk of gestational
diabetes mellitus?
1
,Previous birth of large infant
2
Maternal age younger than 25
3
Underweight before pregnancy
4
Previous diagnosis of type 2 diabetes mellitus
◉3
Symptoms that occur during alcohol withdrawal can be managed
with short-acting barbiturates or benzodiazepines. Disulfiram is
contraindicated in pregnancy because it is teratogenic.
Corticosteroids are not used to treat alcohol withdrawal.
Aminophylline is not used to treat alcohol withdrawal.
Test-Taking Tip: Identify option components as correct or incorrect.
This may help you identify a wrong answer. Example: If you are
being asked to identify a diet that is specific to a certain condition,
your knowledge about that condition would help you choose the
correct response (e.g., cholecystectomy = low-fat, high-protein, low-
calorie diet).
Answer: During pregnancy, alcohol withdrawal may be treated
using:
,1
disulfiram (Antabuse).
2
corticosteroids.
3
benzodiazepines.
4
aminophylline.
◉1
Fetal lung maturation is predicted by the presence by amniotic fluid
phosphatidylglycerol. If it is greater than 3%, the fetal lung
maturation is normal. The risk for hypoglycemia can be confirmed
by evaluating blood glucose levels. The risk for fetal macrosomia is
increased if there is poor glycemic control in pregnancy. If
hyperglycemia occurs, the patient is at risk for hydramnios.
Test-Taking Tip: Survey the test before you start answering the
questions. Plan how to complete the examination in the time
allowed. Read the directions carefully and answer the questions you
know for sure first.
, Answer: The prenatal medical record for a pregnant patient with
diabetes states that amniotic fluid phosphatidylglycerol is greater
than 3%. What does this indicate?
1
The fetal lung maturation is normal.
2
The mother may develop hydramnios.
3
There is a chance of fetal macrosomia.
4
The mother is at risk for hypoglycemia
◉3
The nurse explains the risks of continuing the pregnancy to help the
patient make an informed decision. Fetal surveillance begins after
28 weeks if there are any complications, such as diabetes mellitus, in
the patient. The nurse informs the patient about the complications
that may arise as the pregnancy progresses. If the pregnancy is
continued, the nurse assesses for cardiac decompensation to
evaluate if the heart is able to maintain a sufficient cardiac output.
The nurse does not ask the patient to terminate the pregnancy.
Answer: A patient is diagnosed with severe cardiac disease in the
fourth week of pregnancy. What should be the nurse's priority?
