Concurrent Disorders During Pregnancy

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Questions Bank

Maternity and Women's Health Care Today
The Nurse's Role in Maternity and Women's Health Care
Ethical, Social, and Legal Issues
Reproductive Anatomy and Physiology
Hereditary and Environmental Influences on Childbearing
Conception and Prenatal Development
Physiologic Adaptations to Pregnancy
Psychosocial Adaptations to Pregnancy
Nutrition for Childbearing
Antepartum Fetal Assessment
Perinatal Education
Processes of Birth
Nursing Care During Labor and Birth
Intrapartum Fetal Surveillance
Pain Management During Childbirth
Nursing Care During Obstetric Procedures
Postpartum Physiologic Adaptations
Postpartum Psychosocial Adaptations
Normal Newborn: Processes of Adaptation
Assessment of the Normal Newborn
Care of the Normal Newborn
Infant Feeding
Home Care of the Infant
The Childbearing Family with Special Needs
Complications of Pregnancy
Concurrent Disorders During Pregnancy
Intrapartum Complications
Postpartum Maternal Complications
High-Risk Newborn: Complications Associated with Gestational Age and Development
High-Risk Newborn: Acquired and Congenital Conditions
Family Planning
Infertility
Preventive Care for Women
Women's Health Problems
Infertility
Preventive Care for Women
Women's Health Problems

All Questions

Question 1

Free

Multiple Choice

Which factor is most important in diminishing maternal, fetal, and neonatal complications in a pregnant client with diabetes?

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Evaluation of retinopathy by an ophthalmologist

The client's stable emotional and psychological status

Degree of glycemic control before and during the pregnancy

Total protein excretion and creatinine clearance within normal limits

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Question 2

Free

Multiple Choice

Which major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?

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Hypoglycemia

Hypercalcemia

Hypoinsulinemia

Hypobilirubinemia

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Question 3

Free

Multiple Choice

Which factor is known to increase the risk of gestational diabetes mellitus?

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Previous birth of large infant

Maternal age younger than 25 years

Underweight prior to pregnancy

Previous diagnosis of type 2 diabetes mellitus

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Question 4

Free

Multiple Choice

Which disease process improves during pregnancy?

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Epilepsy

Bell's palsy

Rheumatoid arthritis

Systemic lupus erythematosus (SLE)

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Question 5

Free

Multiple Choice

When a pregnant client with diabetes experiences hypoglycemia while hospitalized, which should the nurse have the client do?

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Eat a candy bar.

Eat six saltine crackers or drink 8 oz of milk.

Drink 4 oz of orange juice followed by 8 oz of milk.

Drink 8 oz of orange juice with 2 teaspoons of sugar added.

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Question 6

Multiple Choice

Nursing intervention for pregnant clients with diabetes is based on the knowledge that the need for insulin is:

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varied depending on the stage of gestation.

increased throughout pregnancy and the postpartum period.

decreased throughout pregnancy and the postpartum period.

should not change because the fetus produces its own insulin.

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Question 7

Multiple Choice

Which form of heart disease in women of childbearing years usually has a benign effect on pregnancy?

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Cardiomyopathy

Mitral valve prolapse

Rheumatic heart disease

Congenital heart disease

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Question 8

Multiple Choice

Which instructions should the nurse include when teaching a pregnant client with Class II heart disease?

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Advise her to gain at least 30 pounds.

Instruct her to avoid strenuous activity.

Inform her of the need to limit fluid intake.

Explain the importance of a diet high in calcium.

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Question 9

Multiple Choice

The most important instruction to include in a teaching plan for a client in early pregnancy who has Class I heart disease is she:

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must report any nausea or vomiting.

may experience mild fatigue in early pregnancy.

must report any chest discomfort or productive cough.

should plan to increase her daily exercise gradually throughout pregnancy.

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Question 10

Multiple Choice

Antiinfective prophylaxis is indicated for a pregnant client with a history of mitral valve stenosis related to rheumatic heart disease because the client is at risk of developing:

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hypertension.

postpartum infection.

bacterial endocarditis.

upper respiratory infections.

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Question 11

Multiple Choice

When planning intrapartum care for a client with heart disease, the nurse should include:

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taking vital signs according to standard protocols.

continuously monitoring cardiac rhythm with telemetry.

massaging the uterus to hasten birth of the placenta.

maintaining the infusion of intravenous fluids to avoid dehydration.

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Question 12

Multiple Choice

For which of the following infectious diseases can a woman be immunized?

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Rubella

Toxoplasmosis

Cytomegalovirus

Herpesvirus type 2

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Question 13

Multiple Choice

A client, who delivered her third child yesterday, has just learned that her two school-age children have contracted chickenpox. What should the nurse tell her?

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Her two children should be treated with acyclovir before she goes home from the hospital.

The baby will acquire immunity from her and will not be susceptible to chickenpox.

The children can visit their mother and baby in the hospital as planned but must wear gowns and masks.

She must make arrangements to stay somewhere other than her home until the children are no longer contagious.

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Question 14

Multiple Choice

A client has a history of drug use and is screened for hepatitis B during the first trimester. Which action is appropriate?

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Practice respiratory isolation.

Plan for retesting during the third trimester.

Discuss the recommendation to bottle feed her baby.

Anticipate administering the vaccination for hepatitis B as soon as possible.

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Question 15

Multiple Choice

A client has tested HIV-positive and has now discovered that she is pregnant. Which statement indicates that she understands the risks of this diagnosis?

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"I know I will need to have an abortion as soon as possible."

"Even though my test is positive, my baby might not be affected."

"My baby is certain to have AIDS and die within the first year of life."

"This pregnancy will probably decrease the chance that I will develop AIDS."

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Question 16

Multiple Choice

A client who has type 2 diabetes is pregnant with her second child. She was not diagnosed with diabetes until after her first pregnancy. Past obstetric history is unremarkable-spontaneous vaginal birth of a male weighing 7 pounds, 15 ounces. The client is now concerned over what will happen during this subsequent pregnancy as a result of her disease process. What impact could the disease process have on her upcoming birth?

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Client will not be able to receive an epidural for pain management.

Client will not be able to have a vaginal birth.

A planned birth will be instituted by her health care provider.

It is likely that she will deliver a fetus who is small for gestational age (SGA).

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Question 17

Multiple Choice

Which client teaching instructions are necessary for a pregnant client who is to undergo a glucose challenge test (GCT) as part of a routine pregnancy treatment plan?

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Consume a low-fat diet for 48 hours prior to testing.

Fast for 12 hours prior to testing.

There are no dietary restrictions prior to testing.

Consume a consistent carbohydrate diet (60 g) prior to testing.

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Question 18

Multiple Choice

Examination of a newborn in the birth room reveals bilateral cataracts. Which disease process in the maternal history would likely cause this abnormality?

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Rubella

Cytomegalovirus (CMV)

Syphilis

HIV

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Question 19

Multiple Choice

Which postpartum client requires further assessment?

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G4 P4 who has had four saturated pads during the last 12 hours

G1 P1 with Class II heart disease who complains of frequent coughing

G2 P2 with gestational diabetes whose fasting blood sugar level is 100 mg/dL

G3 P2 postcesarean client who has active herpes lesions on the labia

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Question 20

Multiple Choice

The labor nurse is providing care to a patient at 37 weeks' gestation who is an insulin-dependent diabetic. The health care provider prescribes an infusion of insulin throughout her induction to be titrated to keep her blood glucose levels below 110 mg/dL. What type of insulin will the nurse select to prepare the infusion?

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NPH insulin

Regular insulin

Lispro (Humalog)

Aspart (Novolog)

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