Ricci Chapter 20 - Test Bank - 4th Edition
questions well answered to pass
1. 1. The nurse is teaching a pregnant Answer: C
woman with type 1 diabetes Rationale: In pregnancy, placental hormones cause
about her diet during in- sulin resistance at a level that tends to
pregnancy. parallel growth of the fetoplacental unit. Nutritional
Which client statement management focuses on maintaining
indicates that the nurse's balanced glucose levels. Thus, the woman will
teaching was suc- cessful? probably
A. "I'll basically follow the same diet need to make adjustments in her diet.
that I was following before I Protein needs increase during pregnancy, but
be- came pregnant." this is 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 C. placenta previa
glyco- sylated hemoglobin D. placental abruption
(HbA1c) level of 13%. At this (abruptio placentae)
time the nurse should be
most con- cerned about
which possible fetal
outcome?
A. congenital anomalies
B. incompetent cervix
1/
35
,Ricci Chapter 20 - Test Bank - 4th Edition
questions well answered to pass
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
incom- petent cervix, placenta previa, or placental
abruption (abruptio placentae).
2/
35
,Ricci Chapter 20 - Test Bank - 4th Edition
questions well answered to pass
3. 3. A nurse is conducting a Answer: A
review class for a group of Rationale: Drug therapy is the mainstay of
perinatal nurs- es working at treatment and is important in reducing the viral
the local clinic. load
The clinic sees a high population of as much as possible. Antiretroviral agents
do not treat
women who are HIV positive. opportunistic infections and are not
After 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
Answer: D
4. 4. Assessment of a pregnant
woman and her fetus reveals tachy- Rationale: Cocaine use produces
vasoconstriction,
cardia and hypertension. suggesting vasocon-
There is also evidence
3/
35
, Ricci Chapter 20 - Test Bank - 4th Edition
questions well answered to pass
tachycardia, and hypertension in both the mother and fetus. The ettects of marijuana are
not yet
striction. The nurse would question fully understood. Alcohol ingestion would
the woman about lead to cognitive and behavioral problems in
use of which the new- born. Heroin is a central nervous
substance? system
A. marijuana depressant.
B. alcohol
4/
35
questions well answered to pass
1. 1. The nurse is teaching a pregnant Answer: C
woman with type 1 diabetes Rationale: In pregnancy, placental hormones cause
about her diet during in- sulin resistance at a level that tends to
pregnancy. parallel growth of the fetoplacental unit. Nutritional
Which client statement management focuses on maintaining
indicates that the nurse's balanced glucose levels. Thus, the woman will
teaching was suc- cessful? probably
A. "I'll basically follow the same diet need to make adjustments in her diet.
that I was following before I Protein needs increase during pregnancy, but
be- came pregnant." this is 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 C. placenta previa
glyco- sylated hemoglobin D. placental abruption
(HbA1c) level of 13%. At this (abruptio placentae)
time the nurse should be
most con- cerned about
which possible fetal
outcome?
A. congenital anomalies
B. incompetent cervix
1/
35
,Ricci Chapter 20 - Test Bank - 4th Edition
questions well answered to pass
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
incom- petent cervix, placenta previa, or placental
abruption (abruptio placentae).
2/
35
,Ricci Chapter 20 - Test Bank - 4th Edition
questions well answered to pass
3. 3. A nurse is conducting a Answer: A
review class for a group of Rationale: Drug therapy is the mainstay of
perinatal nurs- es working at treatment and is important in reducing the viral
the local clinic. load
The clinic sees a high population of as much as possible. Antiretroviral agents
do not treat
women who are HIV positive. opportunistic infections and are not
After 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
Answer: D
4. 4. Assessment of a pregnant
woman and her fetus reveals tachy- Rationale: Cocaine use produces
vasoconstriction,
cardia and hypertension. suggesting vasocon-
There is also evidence
3/
35
, Ricci Chapter 20 - Test Bank - 4th Edition
questions well answered to pass
tachycardia, and hypertension in both the mother and fetus. The ettects of marijuana are
not yet
striction. The nurse would question fully understood. Alcohol ingestion would
the woman about lead to cognitive and behavioral problems in
use of which the new- born. Heroin is a central nervous
substance? system
A. marijuana depressant.
B. alcohol
4/
35
