Nokea
What is a major complication of gestational diabetes that affects the infant?
- A. Lack of nutrition
- B. Dehydration
- C. Hypoglycemia
- D. Hyperglycemia
Correct Answer: C
Rationale: A result of gestational diabetes is neonatal hypoglycemia.
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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.
A 14-year-old pregnant adolescent arrives at the hospital in early labor. The nurse should recognize that the adolescent is at a greater risk for which problem?
- A. Calcium deficit
- B. Cephalopelvic disproportion
- C. Bleeding tendency
- D. Low hemoglobin levels
Correct Answer: B
Rationale: There are several physiologic concerns for pregnant adolescents, including cephalopelvic disproportion.
When should the gestational age of the infant be determined?
- A. Within 5 to 10 minutes of delivery
- B. Within 1 to 2 hours of delivery
- C. Within 2 to 8 hours of delivery
- D. Within 12 to 24 hours of delivery
Correct Answer: C
Rationale: The gestational age tests are done within 2 to 8 hours of delivery.
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.
What percent of first-trimester pregnancies spontaneously abort?
- A. 5% to 10%
- B. 10% to 15%
- C. 20% to 25%
- D. 40% to 50%
Correct Answer: B
Rationale: It is estimated that 10% to 15% of first-trimester pregnancies end in spontaneous abortion.