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The young prenatal patient with gestational diabetes mellitus (GDM) says, 'I am frightened that I will have to deal with insulin injections for the rest of my life.' What is the best response by the nurse?
- A. After delivery your doctor will prescribe oral hypoglycemic medication to control your disease. Pills are so much simpler than insulin injections.'
- B. Have you considered an insulin pump?'
- C. After a while those insulin injections won't seem so bad.'
- D. It will most likely resolve 6 weeks or so after the baby is born.'
Correct Answer: D
Rationale: GDM usually resolves by 6 weeks after delivery.
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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.
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.
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.
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.
A pregnant patient tells the nurse that she has been nauseated and vomiting. How will the nurse explain that hyperemesis gravidarum is distinguished from morning sickness?
- A. Hyperemesis gravidarum usually lasts for the duration of the pregnancy.
- B. Hyperemesis gravidarum causes dehydration and electrolyte imbalances.
- C. Sensitivity to smells is usually the cause of vomiting in hyperemesis gravidarum.
- D. The woman with hyperemesis gravidarum will have persistent vomiting without weight loss.
Correct Answer: B
Rationale: Dehydration and electrolyte imbalances result from persistent nausea and vomiting associated with hyperemesis gravidarum. Dehydration impairs the perfusion to the placenta.