Ricci Chapter 20 - Test Bank - 4th Edition
Study online at https://quizlet.com/_arrtgd
1. 1. The nurse is teaching a pregnant Answer: C
woman with type 1 diabetes about Rationale: In pregnancy, placental hormones cause in-
her diet during pregnancy. sulin resistance at a level that tends to
Which client statement indicates parallel growth of the fetoplacental unit. Nutritional
that the nurse's teaching was suc- management focuses on maintaining
cessful? balanced glucose levels. Thus, the woman will probably
A. "I'll basically follow the same diet need to make adjustments in her diet.
that I was following before I be- Protein needs increase during pregnancy, but this is
came pregnant." unrelated to diabetes. Blood glucose
B. "Because I need extra protein, I'll monitoring results typically guide therapy.
have to increase my intake of milk
and meat."
C. "Pregnancy affects insulin pro-
duction, so I'll need to make adjust-
ments in my diet."
D. "I'll adjust my diet and insulin
based on the results of my urine
tests for glucose."
2. 2. A pregnant woman with diabetes Answer: A
at 10 weeks' gestation has a glyco- Rationale: A HbA1c level of 13% indicates poor glucose
sylated hemoglobin control. This, in conjunction with the
(HbA1c) level of 13%. At this time woman being in the first trimester, increases the risk for
the nurse should be most con- congenital anomalies in the fetus.
cerned about which possible Elevated glucose levels are not associated with incom-
fetal outcome? petent cervix, placenta previa, or placental
A. congenital anomalies abruption (abruptio placentae).
B. incompetent cervix
C. placenta previa
D. placental abruption (abruptio
placentae)
, Ricci Chapter 20 - Test Bank - 4th Edition
Study online at https://quizlet.com/_arrtgd
3. 3. A nurse is conducting a review Answer: A
class for a group of perinatal nurs- Rationale: Drug therapy is the mainstay of treatment
es working at the local clinic. and is important in reducing the viral load
The clinic sees a high population of as much as possible. Antiretroviral agents do not treat
women who are HIV positive. After opportunistic infections and are not
discussing the adjunctive therapy. There is no cure for HIV/AIDS.
recommendations for antiretrovi-
ral therapy with the group, the
nurse determines that the teach-
ing
was successful when the group
identifies which rationale as the un-
derlying principle for the
therapy?
A. reduction in viral loads in the
blood
B. treatment of opportunistic infec-
tions
C. adjunct therapy to radiation and
chemotherapy
D. can cure acute HIV/AIDS infec-
tions
4. 4. Assessment of a pregnant Answer: D
woman and her fetus reveals tachy- Rationale: Cocaine use produces vasoconstriction,
cardia and hypertension. There is tachycardia, and hypertension in both the
also evidence suggesting vasocon- mother and fetus. The effects of marijuana are not yet
striction. The nurse would question fully understood. Alcohol ingestion would
the woman about use of lead to cognitive and behavioral problems in the new-
which substance? born. Heroin is a central nervous system
A. marijuana depressant.
B. alcohol
, Ricci Chapter 20 - Test Bank - 4th Edition
Study online at https://quizlet.com/_arrtgd
C. heroin
D. cocaine
5. 5. When teaching a class of preg- Answer: A
nant women about the effects of Rationale: Substance use during pregnancy is associat-
substance use during ed with low birth weight infants, preterm
pregnancy, the nurse would in- labor, abortion, intrauterine growth restriction, abruptio
clude which effect? placentae, neurobehavioral
A. low-birthweight infants abnormalities, and long-term childhood developmental
B. excessive weight gain consequences. Excessive weight gain,
C. higher pain tolerance higher pain tolerance, and longer gestational periods
D. longer gestational periods are not associated with substance use.
6. 6. A client who is HIV-positive is in Answer: D
her second trimester and remains Rationale: Drug therapy is the mainstay of treatment for
asymptomatic. She voices pregnant women infected with HIV. The
concern about her newborn's risk goal of therapy is to reduce the viral load as much as
for the infection. Which statement possible; this reduces the risk of
by the nurse would be most transmission to the fetus. Decisions about the method
appropriate? of birth should be based on the woman's
A. "You'll probably have a cesare- viral load, duration of ruptured membranes, progress of
an birth to prevent exposing your labor, and other pertinent clinical factors.
newborn." The newborn is at risk for HIV because of potential
B. "Antibodies cross the placenta perinatal transmission. Waiting until after
and provide immunity to the new- the infant is born may be too late.
born."
C. "Wait until after the infant is
born, and then something can be
done."
D. "Antiretroviral medications are
available to help reduce the risk of
transmission."
Study online at https://quizlet.com/_arrtgd
1. 1. The nurse is teaching a pregnant Answer: C
woman with type 1 diabetes about Rationale: In pregnancy, placental hormones cause in-
her diet during pregnancy. sulin resistance at a level that tends to
Which client statement indicates parallel growth of the fetoplacental unit. Nutritional
that the nurse's teaching was suc- management focuses on maintaining
cessful? balanced glucose levels. Thus, the woman will probably
A. "I'll basically follow the same diet need to make adjustments in her diet.
that I was following before I be- Protein needs increase during pregnancy, but this is
came pregnant." unrelated to diabetes. Blood glucose
B. "Because I need extra protein, I'll monitoring results typically guide therapy.
have to increase my intake of milk
and meat."
C. "Pregnancy affects insulin pro-
duction, so I'll need to make adjust-
ments in my diet."
D. "I'll adjust my diet and insulin
based on the results of my urine
tests for glucose."
2. 2. A pregnant woman with diabetes Answer: A
at 10 weeks' gestation has a glyco- Rationale: A HbA1c level of 13% indicates poor glucose
sylated hemoglobin control. This, in conjunction with the
(HbA1c) level of 13%. At this time woman being in the first trimester, increases the risk for
the nurse should be most con- congenital anomalies in the fetus.
cerned about which possible Elevated glucose levels are not associated with incom-
fetal outcome? petent cervix, placenta previa, or placental
A. congenital anomalies abruption (abruptio placentae).
B. incompetent cervix
C. placenta previa
D. placental abruption (abruptio
placentae)
, Ricci Chapter 20 - Test Bank - 4th Edition
Study online at https://quizlet.com/_arrtgd
3. 3. A nurse is conducting a review Answer: A
class for a group of perinatal nurs- Rationale: Drug therapy is the mainstay of treatment
es working at the local clinic. and is important in reducing the viral load
The clinic sees a high population of as much as possible. Antiretroviral agents do not treat
women who are HIV positive. After opportunistic infections and are not
discussing the adjunctive therapy. There is no cure for HIV/AIDS.
recommendations for antiretrovi-
ral therapy with the group, the
nurse determines that the teach-
ing
was successful when the group
identifies which rationale as the un-
derlying principle for the
therapy?
A. reduction in viral loads in the
blood
B. treatment of opportunistic infec-
tions
C. adjunct therapy to radiation and
chemotherapy
D. can cure acute HIV/AIDS infec-
tions
4. 4. Assessment of a pregnant Answer: D
woman and her fetus reveals tachy- Rationale: Cocaine use produces vasoconstriction,
cardia and hypertension. There is tachycardia, and hypertension in both the
also evidence suggesting vasocon- mother and fetus. The effects of marijuana are not yet
striction. The nurse would question fully understood. Alcohol ingestion would
the woman about use of lead to cognitive and behavioral problems in the new-
which substance? born. Heroin is a central nervous system
A. marijuana depressant.
B. alcohol
, Ricci Chapter 20 - Test Bank - 4th Edition
Study online at https://quizlet.com/_arrtgd
C. heroin
D. cocaine
5. 5. When teaching a class of preg- Answer: A
nant women about the effects of Rationale: Substance use during pregnancy is associat-
substance use during ed with low birth weight infants, preterm
pregnancy, the nurse would in- labor, abortion, intrauterine growth restriction, abruptio
clude which effect? placentae, neurobehavioral
A. low-birthweight infants abnormalities, and long-term childhood developmental
B. excessive weight gain consequences. Excessive weight gain,
C. higher pain tolerance higher pain tolerance, and longer gestational periods
D. longer gestational periods are not associated with substance use.
6. 6. A client who is HIV-positive is in Answer: D
her second trimester and remains Rationale: Drug therapy is the mainstay of treatment for
asymptomatic. She voices pregnant women infected with HIV. The
concern about her newborn's risk goal of therapy is to reduce the viral load as much as
for the infection. Which statement possible; this reduces the risk of
by the nurse would be most transmission to the fetus. Decisions about the method
appropriate? of birth should be based on the woman's
A. "You'll probably have a cesare- viral load, duration of ruptured membranes, progress of
an birth to prevent exposing your labor, and other pertinent clinical factors.
newborn." The newborn is at risk for HIV because of potential
B. "Antibodies cross the placenta perinatal transmission. Waiting until after
and provide immunity to the new- the infant is born may be too late.
born."
C. "Wait until after the infant is
born, and then something can be
done."
D. "Antiretroviral medications are
available to help reduce the risk of
transmission."
