Nokea
A nurse is providing prenatal education. The nurse will explain that pregnancy affects glucose metabolism in what way?
- A. Placental hormones increase the resistance of cells to insulin.
- B. Insulin cells cannot meet the body's demands as the woman's weight increases.
- C. There is a decreased production of insulin during pregnancy.
- D. The speed of insulin breakdown is decreased during pregnancy.
Correct Answer: A
Rationale: Hormones and enzymes produced by the placenta increase the resistance of cells to insulin.
You may also like to solve these questions
A woman who is 35 weeks pregnant has a total placenta previa. She asks the nurse, 'Will I be able to deliver vaginally?' What explanation by the nurse is the most appropriate?
- A. Yes, you can deliver vaginally until 36 weeks.'
- B. A vaginal delivery can be attempted, but if bleeding occurs, a cesarean section will be done.'
- C. A cesarean section is performed when the mother has a total placenta previa.'
- D. There is no reason why you cannot have a vaginal delivery.'
Correct Answer: C
Rationale: A cesarean delivery is done for a partial or total placenta previa.
A patient with gestational hypertension is exhibiting all of the signs below. What should the nurse report immediately?
- A. Diarrhea
- B. Urticaria
- C. Blurred vision
- D. Backache
Correct Answer: C
Rationale: Visual disturbances indicate worsening pregnancy-induced hypertension and must be reported promptly for effective intervention to prevent preeclampsia and convulsion.
The nurse takes into consideration that the patient with placenta previa is at risk for postpartum infection for what reasons? (Select all that apply.)
- A. Vaginal organisms can invade the placenta.
- B. The undernourished placenta becomes necrotic.
- C. The amniotic fluid can become infected.
- D. The placenta is an excellent growth medium.
- E. The misplaced placenta weakens the uterine wall.
Correct Answer: A,D
Rationale: Vaginal organisms reach the placenta through the cervix. Once there, the organisms can multiply in the nutrient-rich environment of the placenta. The weak musculature of the lower segment of the uterus will cause postpartum hemorrhage rather than infection.
What symptom presented by a pregnant woman is indicative of abruptio placentae?
- A. Painless vaginal bleeding
- B. Uterine irritability with contractions
- C. Vaginal bleeding and back pain
- D. Premature rupture of membranes
Correct Answer: C
Rationale: Bleeding accompanied by abdominal or lower back pain is a typical manifestation of abruptio placentae.
The nurse is caring for a pregnant woman diagnosed with preeclampsia. What will the nurse explain is the objective of magnesium sulfate therapy for this patient?
- A. To prevent convulsions
- B. To promote diaphoresis
- C. To increase reflex irritability
- D. To act as a saline cathartic
Correct Answer: A
Rationale: Magnesium sulfate is a central nervous system depressant given to prevent seizures.