Nokea
When teaching a primigravid client with diabetes about common causes of hyperglycemia during pregnancy, which of the following would the nurse include?
- A. Fetal macrosomia.
- B. Obesity before conception.
- C. Maternal infection.
- D. Pregnancy-induced hypertension.
Correct Answer: C
Rationale: Infection can cause hyperglycemia.
You may also like to solve these questions
A 38-year-old client at about 14 weeks' gestation is admitted to the hospital with a diagnosis of complete hydatidiform mole. Soon after admission, the nurse would assess the client for signs and symptoms of which of the following?
- A. Pregnancy-induced hypertension.
- B. Gestational diabetes.
- C. Hypothyroidism.
- D. Polycythemia.
Correct Answer: A
Rationale: Pregnancy-induced hypertension is a common complication of hydatidiform mole.
A primigravid client at 39 weeks' gestation is admitted to the hospital in active labor. On admission, the client's cervix is 6 cm dilated. After 2 hours of active labor, the client's cervix is still dilated at 6 cm with 100% effacement at -1 station. Contractions are 3 to 5 minutes apart, lasting 45 seconds, and of moderate intensity. The nurse determines that the client is most likely experiencing which of the following?
- A. Cephalopelvic disproportion.
- B. Prolonged latent phase.
- C. Prolonged transitional phase.
- D. Hypotonic contraction pattern.
Correct Answer: A
Rationale: Lack of cervical dilation (6 cm after 2 hours) despite adequate contractions suggests cephalopelvic disproportion, where the fetal head cannot pass through the pelvis. Prolonged latent phase occurs earlier, transition is at 8–10 cm, and hypotonic contractions are weaker.
The nurse in a postpartum couplet room is making rounds prior to ending the shift. Which of the following indicate that the safety needs of the clients have been met?
- A. Infant lying on abdomen.
- B. Security tags in place.
- C. Identification system on mother and infant.
- D. Bulb syringe within sight.
- E. Someone in room able to care for infant.
- F. Infant in the mother's bed, side rails up.
- G. Infant in the mother's arms, both asleep.
Correct Answer: B,C,D,E
Rationale: Safety needs are met with security tags, identification systems, a bulb syringe for suctioning, and someone present to care for the infant.
One week after her prenatal visit, a primigravid client at 38 weeks' gestation diagnosed with mild preeclampsia calls the clinic nurse complaining of a continuous headache for the past 2 days accompanied by nausea. The client does not want to take aspirin. The nurse should tell the client:
- A. "Take two acetaminophen tablets. They aren't as likely to upset your stomach."
- B. "I think the doctor should see you today. Can you come to the clinic this morning?"
- C. "You need to lie down and rest. Have you tried placing a cool compress over your head?"
- D. "I'll ask the doctor to call in a prescription for aspirin with codeine. What's your pharmacy's number?"
Correct Answer: B
Rationale: Continuous headache and nausea are signs of worsening preeclampsia requiring evaluation.
A full-term client is admitted for induction of labor. When admitted, her cervix is 2/50/0. The initial goal is cervical ripening prior to labor induction. Which drug will prepare her cervix for induction?
- A. Nalbuphine (Nubain).
- B. Oxytocin (Pitocin).
- C. Dinoprostone (Cervidil).
- D. Betamethasone (Celestone).
Correct Answer: C
Rationale: Dinoprostone (Cervidil) is a prostaglandin used for cervical ripening in clients with an unfavorable cervix (e.g., 2 cm, 50% effaced). Nalbuphine is for pain, oxytocin induces contractions, and betamethasone promotes fetal lung maturity.