Nokea
The nurse educates prenatal patients about the threat of TORCH infections. Which infections are included in this classification? (Select all that apply.)
- A. Toxoplasmosis
- B. Toxemia
- C. Cytomegalovirus
- D. Rubella
- E. Herpes simplex
Correct Answer: A,C,D,E
Rationale: The TORCH infections are toxoplasmosis, rubella, cytomegalovirus, and herpes simplex.
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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.
The nurse is caring for a macrosomic newborn of a diabetic patient. What complications will the nurse assess for in the newborn?
- A. Meconium ileus
- B. Diarrhea
- C. Hypoglycemia
- D. Muscle tremors
Correct Answer: C
Rationale: The fetus responds to the hyperglycemia from the mother's blood and produces increased insulin. This insulin may cause hypoglycemia in the infant after it is no longer exposed to the mother's blood.
The nurse finds a woman crying after she has undergone a dilation and evacuation (D&E) for a missed abortion. What is the most appropriate statement by the nurse?
- A. There is usually something wrong with the fetus when this happens early in pregnancy.'
- B. Now there. You can try to conceive on your next cycle.'
- C. I'm here if you need to talk.'
- D. You are young and strong. I know you can have a healthy pregnancy.'
Correct Answer: C
Rationale: An effective technique when communicating with a woman experiencing pregnancy loss is to say, 'I'm here if you need to talk.' The nurse listens and acknowledges the woman's grief.
A woman who is 8 weeks pregnant becomes concerned when she has light vaginal bleeding accompanied by abdominal pain. An ectopic pregnancy is confirmed by ultrasound. Which statement indicates that the woman understands the explanation of an ectopic pregnancy?
- A. The chorionic villi develop vesicles within the uterus.'
- B. The placenta develops in the lower part of the uterus.'
- C. The fetus dies in the uterus during the first half of the pregnancy.'
- D. The embryo is implanted in the fallopian tube.'
Correct Answer: D
Rationale: Ectopic pregnancy occurs when the fertilized ovum is implanted outside of the uterine cavity.
What will the nurse begin with when asking a patient about drug use during a prenatal history?
- A. Do you smoke, drink alcohol, or use drugs?'
- B. Do you ever use prescription or street drugs?'
- C. What over-the-counter and prescription drugs have you taken in the past 3 months?'
- D. We need to know if you take drugs so we can help your baby.'
Correct Answer: C
Rationale: Screening for drug use should begin in a nonthreatening way by asking about prescription and OTC medications and how the information can help provide safe and appropriate prenatal care.