Question 1

What should nurses be aware of with regard to anemia?

Accepted Answer

A)  It is the most common medical disorder of pregnancy. 
B)  It can trigger reflex brachycardia. 
C)  The most common form of anemia is caused by folate deficiency. 
D)  Thalassemia is a European version of sickle cell anemia. 
A)  It is the most common medical disorder of pregnancy. 
B)  It can trigger reflex brachycardia. 
C)  The most common form of anemia is caused by folate deficiency. 
D)  Thalassemia is a European version of sickle cell anemia. A

Question 2

In planning for the care of a 30-year-old woman with pregestational diabetes,what does the nurse recognize as the most important factor affecting pregnancy outcome?

Accepted Answer

A)  Mother's age 
B)  Number of years since diabetes was diagnosed 
C)  Amount of insulin required prenatally 
D)  Degree of glycemic control during pregnancy 
A)  Mother's age 
B)  Number of years since diabetes was diagnosed 
C)  Amount of insulin required prenatally 
D)  Degree of glycemic control during pregnancy D

Question 3

What should the nurse be aware of with regard to postpartum care of the woman with cardiac disease?

Accepted Answer

A)  It should be the same as that for any pregnant woman. 
B)  It includes rest,stool softeners,and monitoring of the effect of activity. 
C)  It includes ambulating frequently,alternating with active range of motion. 
D)  It includes limiting visits with the infant to once per day. 
A)  It should be the same as that for any pregnant woman. 
B)  It includes rest,stool softeners,and monitoring of the effect of activity. 
C)  It includes ambulating frequently,alternating with active range of motion. 
D)  It includes limiting visits with the infant to once per day. B

Question 4

Which statement is accurate in providing perinatal care for women who use substances?

Accepted Answer

A)  A decision to stop using substances must be made by the family. 
B)  Harm reduction practices are not effective with pregnant women. 
C)  Effects of perinatal substance use in pregnancy and postpartum must be reviewed. 
D)  Use of community resources for women to eliminate a social bias for perinatal care must be avoided. 
A)  A decision to stop using substances must be made by the family. 
B)  Harm reduction practices are not effective with pregnant women. 
C)  Effects of perinatal substance use in pregnancy and postpartum must be reviewed. 
D)  Use of community resources for women to eliminate a social bias for perinatal care must be avoided.

Question 5

Which is important to include in nursing care when caring for a pregnant woman at risk for the development of a thromboembolism?

Accepted Answer

A)  Monitor the patient for loss of deep tendon reflexes. 
B)  Massage her calves when the woman complains of pain. 
C)  Apply compression stockings. 
D)  Maintain a restriction on fluid intake. 
A)  Monitor the patient for loss of deep tendon reflexes. 
B)  Massage her calves when the woman complains of pain. 
C)  Apply compression stockings. 
D)  Maintain a restriction on fluid intake.

Question 6

What should the nurse be aware of with regard to maternal diabetes affecting the mother and fetus?

Accepted Answer

A)  Diabetic ketoacidosis (DK
A) can lead to fetal death at any time during pregnancy. 
B)  Hydramnios occurs less often in diabetic pregnancies. 
C)  Infections occur about as often and are considered about as serious in diabetic and nondiabetic pregnancies. 
D)  Even mild-to-moderate hypoglycemic episodes can have significant effects on fetal well-being. 
A)  Diabetic ketoacidosis (DK
A) can lead to fetal death at any time during pregnancy. 
B)  Hydramnios occurs less often in diabetic pregnancies. 
C)  Infections occur about as often and are considered about as serious in diabetic and nondiabetic pregnancies. 
D)  Even mild-to-moderate hypoglycemic episodes can have significant effects on fetal well-being.

Question 7

What should the nurse caring for antepartum women with cardiac conditions be aware of?

Accepted Answer

A)  Stress on the heart is greatest in the first trimester and the last 2 weeks before labour. 
B)  Women with class II cardiac disease should avoid heavy exertion and any activity that causes even minor symptoms. 
C)  Women with class III cardiac disease should get 8 to 10 hours of sleep every day and limit housework,shopping,and exercise. 
D)  Women with class I cardiac disease need bedrest through most of the pregnancy and face the possibility of hospitalization near term. 
A)  Stress on the heart is greatest in the first trimester and the last 2 weeks before labour. 
B)  Women with class II cardiac disease should avoid heavy exertion and any activity that causes even minor symptoms. 
C)  Women with class III cardiac disease should get 8 to 10 hours of sleep every day and limit housework,shopping,and exercise. 
D)  Women with class I cardiac disease need bedrest through most of the pregnancy and face the possibility of hospitalization near term.

Question 8

What is the most common neurological disorder accompanying pregnancy?

Accepted Answer

A)  Eclampsia 
B)  Bell's palsy 
C)  Epilepsy 
D)  Multiple sclerosis 
A)  Eclampsia 
B)  Bell's palsy 
C)  Epilepsy 
D)  Multiple sclerosis

Question 9

The nurse must be alert for which signs and symptoms of cardiac decompensation when caring for a pregnant woman with cardiac problems?

Accepted Answer

A)  A regular heart rate and hypertension 
B)  An increased urinary output,tachycardia,and slow respirations 
C)  Shortness of breath,bradycardia,and hypertension 
D)  Frequent cough;crackles;and an irregular,weak pulse 
A)  A regular heart rate and hypertension 
B)  An increased urinary output,tachycardia,and slow respirations 
C)  Shortness of breath,bradycardia,and hypertension 
D)  Frequent cough;crackles;and an irregular,weak pulse

Question 10

According to statistics,cystic fibrosis occurs once in how many live Caucasian births?

Accepted Answer

A)  1500 
B)  2000 
C)  2500 
D)  3000 
A)  1500 
B)  2000 
C)  2500 
D)  3000

Question 11

During a physical assessment of an at-risk patient,what is the most likely cause of assessment findings that include generalized edema,crackles at the base of the lungs,and some pulse irregularity?

Accepted Answer

A)  Euglycemia 
B)  Rheumatic fever 
C)  Pneumonia 
D)  Cardiac decompensation 
A)  Euglycemia 
B)  Rheumatic fever 
C)  Pneumonia 
D)  Cardiac decompensation

Question 12

What normal fasting glucose level should the nurse recommend for a woman with pregestational diabetes?

Accepted Answer

A)  2.5-3.5 mmol/L 
B)  3.8-5.2 mmol/L 
C)  5.5-7.7 mmol/L 
D)  5.0-6.6 mmol/L 
A)  2.5-3.5 mmol/L 
B)  3.8-5.2 mmol/L 
C)  5.5-7.7 mmol/L 
D)  5.0-6.6 mmol/L

Question 13

Which are target blood glucose levels during pregnancy for a 2-hour postprandial plasma glucose? Select all that apply.Express answer with small letters,followed by a comma and a space-e.g. ,a,b,C

Accepted Answer

A)  3.8 mmol/L 
B)  4.3 mmol/L 
C)  4.8 mmol/L 
D)  5.3 mmol/L 
E)  5.8 mmol/L
F) 6.3 mmol/L
G)6.8 mmol/L 
A)  3.8 mmol/L 
B)  4.3 mmol/L 
C)  4.8 mmol/L 
D)  5.3 mmol/L 
E)  5.8 mmol/L
F) 6.3 mmol/L
G)6.8 mmol/L

Question 14

Metabolic changes throughout pregnancy that affect glucose and insulin in the mother and the fetus are complicated but important to understand.Which is important for the nurse to know?

Accepted Answer

A)  Insulin crosses the placenta to the fetus only in the first trimester,after which the fetus secretes its own. 
B)  Women with insulin-dependent diabetes are prone to hyperglycemia during the first trimester because they are consuming more sugar. 
C)  During the second and third trimesters pregnancy exerts a diabetogenic effect that ensures an abundant supply of glucose for the fetus. 
D)  Maternal insulin requirements steadily decline during pregnancy. 
A)  Insulin crosses the placenta to the fetus only in the first trimester,after which the fetus secretes its own. 
B)  Women with insulin-dependent diabetes are prone to hyperglycemia during the first trimester because they are consuming more sugar. 
C)  During the second and third trimesters pregnancy exerts a diabetogenic effect that ensures an abundant supply of glucose for the fetus. 
D)  Maternal insulin requirements steadily decline during pregnancy.

Question 15

Which should the nurse know in terms of the incidence and classification of diabetes?

Accepted Answer

A)  Type 1 diabetes is most common. 
B)  Type 2 diabetes often goes undiagnosed. 
C)  Gestational diabetes mellitus (GDM)means that the woman will be receiving insulin treatment until 6 weeks after birth. 
D)  Type 1 diabetes may become type 2 during pregnancy. 
A)  Type 1 diabetes is most common. 
B)  Type 2 diabetes often goes undiagnosed. 
C)  Gestational diabetes mellitus (GDM)means that the woman will be receiving insulin treatment until 6 weeks after birth. 
D)  Type 1 diabetes may become type 2 during pregnancy.

Question 16

Which should the nurse know regarding drug testing during pregnancy in Canada?

Accepted Answer

A)  It is required at the first prenatal visit. 
B)  Only those drugs disclosed by the woman are tested for. 
C)  There is no legal requirement to test the mother or the newborn child. 
D)  Testing is required before labour and delivery. 
A)  It is required at the first prenatal visit. 
B)  Only those drugs disclosed by the woman are tested for. 
C)  There is no legal requirement to test the mother or the newborn child. 
D)  Testing is required before labour and delivery.

Question 17

What should the nurse be aware of in relation to diabetes in pregnancy?

Accepted Answer

A)  With good control of maternal glucose levels,sudden and unexplained stillbirth is no longer a major concern. 
B)  The most important cause of perinatal loss in diabetic pregnancy is congenital malformations. 
C)  Infants of mothers with diabetes have the same risks for central nervous system (CNS)defects as infants of mothers that do not have diabetes. 
D)  At birth the newborn of a diabetic mother is no longer at any risk. 
A)  With good control of maternal glucose levels,sudden and unexplained stillbirth is no longer a major concern. 
B)  The most important cause of perinatal loss in diabetic pregnancy is congenital malformations. 
C)  Infants of mothers with diabetes have the same risks for central nervous system (CNS)defects as infants of mothers that do not have diabetes. 
D)  At birth the newborn of a diabetic mother is no longer at any risk.

Question 18

A woman with asthma is experiencing a postpartum hemorrhage.Which drug would be recommended to treat her bleeding that would not exacerbate her asthma?

Accepted Answer

A)  Prostaglandin E2 
B)  Ergonovine 
C)  Hemabate 
D)  Methylergonovine 
A)  Prostaglandin E2 
B)  Ergonovine 
C)  Hemabate 
D)  Methylergonovine

Question 19

Which is attributable to poor glycemic control before and during early pregnancy?

Accepted Answer

A)  Frequent episodes of maternal hypoglycemia 
B)  Congenital anomalies in the fetus 
C)  Polyhydramnios 
D)  Hyperemesis gravidarum 
A)  Frequent episodes of maternal hypoglycemia 
B)  Congenital anomalies in the fetus 
C)  Polyhydramnios 
D)  Hyperemesis gravidarum

Question 20

With which heart condition is pregnancy usually contraindicated?

Accepted Answer

A)  Pre-existing hypertension 
B)  Eisenmenger syndrome 
C)  Heart transplant 
D)  Aortic valve stenosis 
A)  Pre-existing hypertension 
B)  Eisenmenger syndrome 
C)  Heart transplant 
D)  Aortic valve stenosis

Exam 15: Pregnancy at Risk: Pre-Existing Conditions

What should nurses be aware of with regard to anemia?

In planning for the care of a 30-year-old woman with pregestational diabetes,what does the nurse recognize as the most important factor affecting pregnancy outcome?

What should the nurse be aware of with regard to postpartum care of the woman with cardiac disease?

Which statement is accurate in providing perinatal care for women who use substances?

Which is important to include in nursing care when caring for a pregnant woman at risk for the development of a thromboembolism?

What should the nurse be aware of with regard to maternal diabetes affecting the mother and fetus?

What should the nurse caring for antepartum women with cardiac conditions be aware of?

What is the most common neurological disorder accompanying pregnancy?

The nurse must be alert for which signs and symptoms of cardiac decompensation when caring for a pregnant woman with cardiac problems?

According to statistics,cystic fibrosis occurs once in how many live Caucasian births?

During a physical assessment of an at-risk patient,what is the most likely cause of assessment findings that include generalized edema,crackles at the base of the lungs,and some pulse irregularity?

What normal fasting glucose level should the nurse recommend for a woman with pregestational diabetes?

Which are target blood glucose levels during pregnancy for a 2-hour postprandial plasma glucose? Select all that apply.Express answer with small letters,followed by a comma and a space-e.g. ,a,b,C

Metabolic changes throughout pregnancy that affect glucose and insulin in the mother and the fetus are complicated but important to understand.Which is important for the nurse to know?

Which should the nurse know in terms of the incidence and classification of diabetes?

Which should the nurse know regarding drug testing during pregnancy in Canada?

What should the nurse be aware of in relation to diabetes in pregnancy?

A woman with asthma is experiencing a postpartum hemorrhage.Which drug would be recommended to treat her bleeding that would not exacerbate her asthma?

Which is attributable to poor glycemic control before and during early pregnancy?

With which heart condition is pregnancy usually contraindicated?

Contemporary Perinatal and Pediatric Nursing in Canada

The Family and Culture

Community Care

Perinatal Nursing in Canada

Health Promotion

Health Assessment

Reproductive Health

Infertility, Contraception, and Abortion

Preconception, Genetics, Conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy Risk Factors and Assessment

Pregnancy at Risk: Gestational Conditions

Labour and Birth Processes

Nursing Care of the Family During Labour and Birth

Pain Management During Labour

Fetal Health Surveillance During Labour

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Infants with Gestational Age Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Pediatric Nursing in Canada

Family, Social, Cultural, and Religious Influences on Children’s Health

Developmental Influences on Child Health Promotion

Communication, History, Physical, and Developmental Assessment

Pain Assessment and Management

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, Complex Conditions, and End-of-Life Care

Cognitive and Sensory Impairment

Family-Centred Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

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Hematological or Immunological Dysfunction

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