Ricci Chapter 20 - Test Bank - 4th
Edition Questions And Correct
Answers
1. mThe mnurse mis mteaching ma mpregnant mwoman mwith mtype m1 mdiabetes mabout mher mdiet
mduring mpregnancy.
Which mclient mstatement mindicates mthat mthe mnurse's mteaching mwas msuccessful?
A. m"I'll mbasically mfollow mthe msame mdiet mthat mI mwas mfollowing mbefore mI mbecame mpregnant."
B. m"Because mI mneed mextra mprotein, mI'll mhave mto mincrease mmy mintake mof mmilk mand mmeat."
C. m"Pregnancy maffects minsulin mproduction, mso mI'll mneed mto mmake madjustments min mmy mdiet."
D. m"I'll madjust mmy mdiet mand minsulin mbased mon mthe mresults mof mmy murine mtests mfor mglucose."
m- mAnswer m- mAnswer: mC
Rationale: mIn mpregnancy, mplacental mhormones mcause minsulin mresistance mat ma mlevel mthat mtends
mto
parallel mgrowth mof mthe mfetoplacental munit. mNutritional mmanagement mfocuses mon mmaintaining
balanced mglucose mlevels. mThus, mthe mwoman mwill mprobably mneed mto mmake madjustments min
mher mdiet.
Protein mneeds mincrease mduring mpregnancy, mbut mthis mis munrelated mto mdiabetes. mBlood mglucose
monitoring mresults mtypically mguide mtherapy.
2. mA mpregnant mwoman mwith mdiabetes mat m10 mweeks' mgestation mhas ma mglycosylated
mhemoglobin
(HbA1c) mlevel mof m13%. mAt mthis mtime mthe mnurse mshould mbe mmost mconcerned mabout mwhich
mpossible
fetal moutcome?
A. mcongenital manomalies
B. mincompetent mcervix
C. mplacenta mprevia
,D. mplacental mabruption m(abruptio mplacentae) m- mAnswer m- mAnswer: mA
Rationale: mA mHbA1c mlevel mof m13% mindicates mpoor mglucose mcontrol. mThis, min mconjunction
mwith mthe
woman mbeing min mthe mfirst mtrimester, mincreases mthe mrisk mfor mcongenital manomalies min mthe
mfetus.
Elevated mglucose mlevels mare mnot massociated mwith mincompetent mcervix, mplacenta mprevia, mor
mplacental
abruption m(abruptio mplacentae).
3. mA mnurse mis mconducting ma mreview mclass mfor ma mgroup mof mperinatal mnurses mworking mat mthe
mlocal mclinic.
The mclinic msees ma mhigh mpopulation mof mwomen mwho mare mHIV mpositive. mAfter mdiscussing mthe
recommendations mfor mantiretroviral mtherapy mwith mthe mgroup, mthe mnurse mdetermines mthat mthe
mteaching
was msuccessful mwhen mthe mgroup midentifies mwhich mrationale mas mthe munderlying mprinciple mfor
mthe
therapy?
A. mreduction min mviral mloads min mthe mblood
B. mtreatment mof mopportunistic minfections
C. madjunct mtherapy mto mradiation mand mchemotherapy
D. mcan mcure macute mHIV/AIDS minfections m- mAnswer m- mAnswer: mA
Rationale: mDrug mtherapy mis mthe mmainstay mof mtreatment mand mis mimportant min mreducing mthe
mviral mload
as mmuch mas mpossible. mAntiretroviral magents mdo mnot mtreat mopportunistic minfections mand mare
mnot
adjunctive mtherapy. mThere mis mno mcure mfor mHIV/AIDS.
4. mAssessment mof ma mpregnant mwoman mand mher mfetus mreveals mtachycardia mand mhypertension.
mThere mis
also mevidence msuggesting mvasoconstriction. mThe mnurse mwould mquestion mthe mwoman mabout
muse mof
which msubstance?
, A. mmarijuana
B. malcohol
C. mheroin
D. mcocaine m- mAnswer m- mAnswer: mD
Rationale: mCocaine muse mproduces mvasoconstriction, mtachycardia, mand mhypertension min mboth
mthe
mother mand mfetus. mThe meffects mof mmarijuana mare mnot myet mfully munderstood. mAlcohol
mingestion mwould
lead mto mcognitive mand mbehavioral mproblems min mthe mnewborn. mHeroin mis ma mcentral mnervous
msystem
depressant.
5. mWhen mteaching ma mclass mof mpregnant mwomen mabout mthe meffects mof msubstance muse
mduring
pregnancy, mthe mnurse mwould minclude mwhich meffect?
A. mlow-birthweight minfants
B. mexcessive mweight mgain
C. mhigher mpain mtolerance
D. mlonger mgestational mperiods m- mAnswer m- mAnswer: mA
Rationale: mSubstance muse mduring mpregnancy mis massociated mwith mlow mbirth mweight minfants,
mpreterm
labor, mabortion, mintrauterine mgrowth mrestriction, mabruptio mplacentae, mneurobehavioral
abnormalities, mand mlong-term mchildhood mdevelopmental mconsequences. mExcessive mweight mgain,
higher mpain mtolerance, mand mlonger mgestational mperiods mare mnot massociated mwith msubstance
muse.
6. mA mclient mwho mis mHIV-positive mis min mher msecond mtrimester mand mremains masymptomatic.
mShe mvoices
concern mabout mher mnewborn's mrisk mfor mthe minfection. mWhich mstatement mby mthe mnurse
mwould mbe mmost
appropriate?
A. m"You'll mprobably mhave ma mcesarean mbirth mto mprevent mexposing myour mnewborn."
Edition Questions And Correct
Answers
1. mThe mnurse mis mteaching ma mpregnant mwoman mwith mtype m1 mdiabetes mabout mher mdiet
mduring mpregnancy.
Which mclient mstatement mindicates mthat mthe mnurse's mteaching mwas msuccessful?
A. m"I'll mbasically mfollow mthe msame mdiet mthat mI mwas mfollowing mbefore mI mbecame mpregnant."
B. m"Because mI mneed mextra mprotein, mI'll mhave mto mincrease mmy mintake mof mmilk mand mmeat."
C. m"Pregnancy maffects minsulin mproduction, mso mI'll mneed mto mmake madjustments min mmy mdiet."
D. m"I'll madjust mmy mdiet mand minsulin mbased mon mthe mresults mof mmy murine mtests mfor mglucose."
m- mAnswer m- mAnswer: mC
Rationale: mIn mpregnancy, mplacental mhormones mcause minsulin mresistance mat ma mlevel mthat mtends
mto
parallel mgrowth mof mthe mfetoplacental munit. mNutritional mmanagement mfocuses mon mmaintaining
balanced mglucose mlevels. mThus, mthe mwoman mwill mprobably mneed mto mmake madjustments min
mher mdiet.
Protein mneeds mincrease mduring mpregnancy, mbut mthis mis munrelated mto mdiabetes. mBlood mglucose
monitoring mresults mtypically mguide mtherapy.
2. mA mpregnant mwoman mwith mdiabetes mat m10 mweeks' mgestation mhas ma mglycosylated
mhemoglobin
(HbA1c) mlevel mof m13%. mAt mthis mtime mthe mnurse mshould mbe mmost mconcerned mabout mwhich
mpossible
fetal moutcome?
A. mcongenital manomalies
B. mincompetent mcervix
C. mplacenta mprevia
,D. mplacental mabruption m(abruptio mplacentae) m- mAnswer m- mAnswer: mA
Rationale: mA mHbA1c mlevel mof m13% mindicates mpoor mglucose mcontrol. mThis, min mconjunction
mwith mthe
woman mbeing min mthe mfirst mtrimester, mincreases mthe mrisk mfor mcongenital manomalies min mthe
mfetus.
Elevated mglucose mlevels mare mnot massociated mwith mincompetent mcervix, mplacenta mprevia, mor
mplacental
abruption m(abruptio mplacentae).
3. mA mnurse mis mconducting ma mreview mclass mfor ma mgroup mof mperinatal mnurses mworking mat mthe
mlocal mclinic.
The mclinic msees ma mhigh mpopulation mof mwomen mwho mare mHIV mpositive. mAfter mdiscussing mthe
recommendations mfor mantiretroviral mtherapy mwith mthe mgroup, mthe mnurse mdetermines mthat mthe
mteaching
was msuccessful mwhen mthe mgroup midentifies mwhich mrationale mas mthe munderlying mprinciple mfor
mthe
therapy?
A. mreduction min mviral mloads min mthe mblood
B. mtreatment mof mopportunistic minfections
C. madjunct mtherapy mto mradiation mand mchemotherapy
D. mcan mcure macute mHIV/AIDS minfections m- mAnswer m- mAnswer: mA
Rationale: mDrug mtherapy mis mthe mmainstay mof mtreatment mand mis mimportant min mreducing mthe
mviral mload
as mmuch mas mpossible. mAntiretroviral magents mdo mnot mtreat mopportunistic minfections mand mare
mnot
adjunctive mtherapy. mThere mis mno mcure mfor mHIV/AIDS.
4. mAssessment mof ma mpregnant mwoman mand mher mfetus mreveals mtachycardia mand mhypertension.
mThere mis
also mevidence msuggesting mvasoconstriction. mThe mnurse mwould mquestion mthe mwoman mabout
muse mof
which msubstance?
, A. mmarijuana
B. malcohol
C. mheroin
D. mcocaine m- mAnswer m- mAnswer: mD
Rationale: mCocaine muse mproduces mvasoconstriction, mtachycardia, mand mhypertension min mboth
mthe
mother mand mfetus. mThe meffects mof mmarijuana mare mnot myet mfully munderstood. mAlcohol
mingestion mwould
lead mto mcognitive mand mbehavioral mproblems min mthe mnewborn. mHeroin mis ma mcentral mnervous
msystem
depressant.
5. mWhen mteaching ma mclass mof mpregnant mwomen mabout mthe meffects mof msubstance muse
mduring
pregnancy, mthe mnurse mwould minclude mwhich meffect?
A. mlow-birthweight minfants
B. mexcessive mweight mgain
C. mhigher mpain mtolerance
D. mlonger mgestational mperiods m- mAnswer m- mAnswer: mA
Rationale: mSubstance muse mduring mpregnancy mis massociated mwith mlow mbirth mweight minfants,
mpreterm
labor, mabortion, mintrauterine mgrowth mrestriction, mabruptio mplacentae, mneurobehavioral
abnormalities, mand mlong-term mchildhood mdevelopmental mconsequences. mExcessive mweight mgain,
higher mpain mtolerance, mand mlonger mgestational mperiods mare mnot massociated mwith msubstance
muse.
6. mA mclient mwho mis mHIV-positive mis min mher msecond mtrimester mand mremains masymptomatic.
mShe mvoices
concern mabout mher mnewborn's mrisk mfor mthe minfection. mWhich mstatement mby mthe mnurse
mwould mbe mmost
appropriate?
A. m"You'll mprobably mhave ma mcesarean mbirth mto mprevent mexposing myour mnewborn."
