Nokea
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.
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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 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 emphasizes to a patient with a high-risk pregnancy that the impact of such a pregnancy might result in which problems? (Select all that apply.)
- A. Disruption of family roles
- B. Financial pressures
- C. Excessive attachment to infant
- D. Frustration with activity restriction
- E. Alteration in child care practices
Correct Answer: A,B,D,E
Rationale: High-risk pregnancies may produce problems such as disruption of family roles, financial pressures, delayed attachment to the infant, alteration in child care practices, and frustration with activity restriction.
A woman seeking prenatal care relates a history of macrosomic infants, two stillbirths, and polyhydramnios with each pregnancy. What does the nurse recognize these factors highly suggest?
- A. Toxoplasmosis
- B. Abruptio placentae
- C. Hydatidiform mole
- D. Diabetes mellitus
Correct Answer: D
Rationale: Large (macrosomic) infants over 9 pounds are linked to gestational diabetes.
The nurse teaches a woman who is 8 weeks pregnant about how rubella can affect the developing fetus. What can result from maternal rubella during pregnancy?
- A. Facial abnormalities
- B. Mental retardation
- C. Liver failure
- D. Limb deformities
Correct Answer: B
Rationale: Rubella can have devastating effects on the developing fetus. Some effects of rubella on the embryo or fetus include microcephaly, mental retardation, cardiac defects, cataracts, and deafness.