Nokea
A pregnant patient who has type 2 diabetes (NIDDM) may require insulin. Why is the insulin necessary?
- A. The growing baby will require more glucose.
- B. Oral hypoglycemic agents may be teratogenic.
- C. Increased hormone levels raise blood glucose.
- D. Oral hypoglycemics do not reach the fetus.
Correct Answer: B
Rationale: Oral hypoglycemics are discontinued because of teratogenic effects.
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Following an abruptio placentae the patient suddenly becomes dyspneic complains of chest pain and begins to ooze blood from her IV insertion site. The nurse assesses these as indicators of ___ coagulation.
Correct Answer: intravascular
Rationale: DIC is characterized by dyspnea, chest pain, and uncontrolled bleeding.
What condition is a possible cause of gestational hypertension?
- A. Too much salt
- B. A toxin
- C. Renal disease
- D. Diabetes
Correct Answer: C
Rationale: Gestational hypertension may be caused by other existing conditions, such as renal disease.
A primigravida is Rh negative and her husband is Rh positive. She is concerned about the health of the fetus. The nurse explains that there is little danger to the fetus if it is Rh positive; however the mother would become sensitized during delivery. If this were the case the mother would produce what in subsequent pregnancies?
- A. Rh-negative blood cells
- B. Rh-positive blood cells
- C. Rh-negative antibodies
- D. Rh-positive antibodies
Correct Answer: D
Rationale: If the mother is exposed to the Rh antigen, Rh-positive antibodies will be produced after delivery of an Rh-positive baby. If the baby is Rh negative, no antibodies will be produced.
A patient is admitted to the hospital with signs of an ectopic pregnancy. What should the plan of care include for the patient?
- A. Long-term bed rest
- B. Episodes of extreme hypertension
- C. Surgery to remove the embryo/fetus
- D. Treatment for dehydration
Correct Answer: C
Rationale: An ectopic implantation occurs somewhere outside the uterus and either resolves itself in a spontaneous abortion or requires surgical intervention.
A patient is admitted to the hospital with hyperemesis gravidarum. The patient is malnourished and severely dehydrated. The care plan should be altered to include which interventions?
- A. Hyperalimentation
- B. IV fluids and electrolyte replacement
- C. Hormone replacement therapy
- D. Vitamin supplements
Correct Answer: B
Rationale: Medical treatment is aimed at meeting fluid and electrolyte replacement.