Nursing 247 Chpt 20 Review Questions and Correct Answers

The nurse is teaching a pregnant woman with type 1 diabetes about her diet during pregnancy. Which client statement indicates that the nurse's teaching was successful? A) "I'll basically follow the same diet that I was following before I became pregnant." B) "Because I need extra protein, I'll have to increase my intake of milk and meat." C) "Pregnancy affects insulin production, so I'll need to make adjustments in my diet." D)"I'll adjust my diet and insulin based on the results of my urine tests for glucose." C A nurse is conducting a class for pregnant women with diabetes. Which factor would the nurse emphasize as being most important in helping to reduce the maternal/fetal/neonatal complications associated with pregnancy and diabetes? A) stability of the woman's emotional and psychological status B) degree of glycemic control achieved during the pregnancy C) evaluation of retinopathy by an ophthalmologist D) blood urea nitrogen level (BUN) within normal limits B A pregnant client whose diabetes has been poorly controlled throughout her pregnancy is in labor. The nurse would assess the neonate closely at birth for which condition? A) macrosomia B) hyperglycemia C) low birthweight D) hypobilirubinemia A A woman with diabetes is considering becoming pregnant. She asks the nurse whether she will be able to take oral hypoglycemics when she is pregnant. The nurse's response is based on the understanding that oral hypoglycemics: A) can be used as long as they control serum glucose levels. B) can be taken until the degeneration of the placenta occurs. C) are usually suggested primarily for women who develop gestational diabetes. D) show promising results, but more studies are needed to confirm their degree of safety. D A 10-week pregnant woman with diabetes has a glycosylated hemoglobin (HbA1c) level of 13%. At this time the nurse should be most concerned about which possible fetal outcome? A) congenital anomalies B) incompetent cervix C) placenta previa D) abruptio placentae A