Nokea
Why is the fetus dependent on the mother for glucose control?
- A. The insulin requirements are higher.
- B. Insulin is destroyed by the placenta.
- C. Insulin does not cross the placenta.
- D. Insulin is absorbed by the fetus.
Correct Answer: C
Rationale: Insulin will not cross the placenta, but high glucose levels do. Therefore, it is imperative that the mother control glucose levels.
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The nurse explains that severe ___ needs to be controlled because it can develop into another syndrome called HELLP (Hypertension Elevated Liver enzymes and Low Platelets).
Correct Answer: preeclampsia
Rationale: Progressive preeclampsia can develop into HELLP syndrome.
A nursery nurse is implementing phototherapy for a jaundiced infant. What is the purpose of the phototherapy?
- A. It is initiated when the bilirubin level reaches 5 mg/dL.
- B. It converts bilirubin to a water-soluble form to be excreted in the urine.
- C. It changes bilirubin to a bile salt to be excreted through the bowel.
- D. It requires eye patches to remain in place 24 hours a day.
Correct Answer: B
Rationale: Phototherapy converts the bilirubin into a water-soluble form to be excreted by the kidneys. It is initiated when the bilirubin level reaches 12 to 15 mg/dL. The eye patches are worn during therapy, but removed for feeding, bathing, and socialization.
A patient is admitted to the hospital with hyperemesis gravidarum. The patient is malnourished and severely dehydrated. The care plan should be altered to include which interventions?
- A. Hyperalimentation
- B. IV fluids and electrolyte replacement
- C. Hormone replacement therapy
- D. Vitamin supplements
Correct Answer: B
Rationale: Medical treatment is aimed at meeting fluid and electrolyte replacement.
Compared to older infants of comparable weight how much higher is the morbidity and mortality rate for preterm infants?
- A. One to two times
- B. Two to three times
- C. Three to four times
- D. Four to five times
Correct Answer: C
Rationale: The morbidity and mortality rate for preterm infants is higher by three to four times that of an older infant of similar weight.
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.