Nokea
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.
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A patient who is 30 weeks pregnant delivers a stillborn child in the emergency department (ED). What should the ED nurse offer the patient? (Select all that apply.)
- A. Privacy
- B. An opportunity to hold the infant
- C. Materials about support groups
- D. A memento (footprint or lock of hair)
- E. A warm beverage
Correct Answer: A,B,C,D
Rationale: The patient should be offered privacy, an opportunity to hold the infant, support group information, and a memento. A warm beverage is not a priority at this time.
Why does the woman taking oral hypoglycemic agents to control diabetes mellitus need to take insulin during pregnancy?
- A. Insulin can cross the placental barrier to the fetus.
- B. Insulin does not cross the placental barrier to the fetus.
- C. Oral agents do not cross the placenta.
- D. Oral agents are not sufficient to meet maternal insulin needs.
Correct Answer: B
Rationale: Oral hypoglycemic agents are not used during pregnancy, because they can cross the placenta, possibly resulting in fetal birth defects or hypoglycemia.
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 pregnant woman receiving an intravenous infusion with magnesium sulfate. What is the highest priority nursing intervention?
- A. Count respirations and report a rate of less than 12 breaths/minute.
- B. Count respirations and report a rate of more than 20 breaths/minute.
- C. Check blood pressure and report a rate of less than 100/60 mm Hg.
- D. Monitor urinary output and report a rate of less than 100 mL/hr.
Correct Answer: A
Rationale: Excessive magnesium sulfate may cause respiratory depression.
What drug will the nurse plan to have available for immediate IV administration whenever magnesium sulfate is administered to a maternity patient?
- A. Ergonovine maleate (Ergotrate)
- B. Oxytocin
- C. Calcium gluconate
- D. Hydralazine (Apresoline)
Correct Answer: C
Rationale: Calcium gluconate reverses the effects of magnesium sulfate and should be available for immediate use when a woman receives magnesium sulfate.