Exam 11: Pregnancy at Risk: Preexisting Conditions

Preconception counseling is critical to the outcome of diabetic pregnancies because poor glycemic control before and during early pregnancy is associated with:

The nurse providing care for a woman with gestational diabetes understands that a laboratory test for glycosylated hemoglobin Alc:

With one exception,the safest pregnancy is one in which the woman is drug and alcohol free.For women addicted to opioids,________________________ treatment is the current standard of care during pregnancy.

When the pregnant diabetic woman experiences hypoglycemia while hospitalized,the nurse should intervene by having the patient:

In caring for a pregnant woman with sickle cell anemia,the nurse is aware that signs and symptoms of sickle cell crisis include:

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

In terms of the incidence and classification of diabetes,maternity nurses should know that:

Congenital anomalies can occur with the use of antiepileptic drugs (AEDs),including (Select all that apply):

A woman with gestational diabetes has had little or no experience reading and interpreting glucose levels.She shows the nurse her readings for the past few days.Which one should the nurse tell her indicates a need for adjustment (insulin or sugar)?

In assessing the knowledge of a pregestational woman with type 1 diabetes concerning changing insulin needs during pregnancy,the nurse recognizes that further teaching is warranted when the client states:

The use of methamphetamine (meth)has been described as a significant drug problem in the United States.In order to provide adequate nursing care to this client population the nurse must be cognizant that methamphetamine:

Achieving and maintaining euglycemia comprise the primary goals of medical therapy for the pregnant woman with diabetes.These goals are achieved through a combination of diet,insulin,exercise,and blood glucose monitoring.The target blood glucose levels 1 hour after a meal should be: _________________

Prophylaxis of subacute bacterial endocarditis is given before and after birth when a pregnant woman has:

In planning for the care of a 30-year-old woman with pregestational diabetes,the nurse recognizes that the most important factor affecting pregnancy outcome is the:

The most common neurologic disorder accompanying pregnancy is:

Concerning the use and abuse of legal drugs or substances,nurses should be aware that:

You are preparing to teach an antepartum patient with gestational diabetes the correct method of administering an intermediate acting insulin (NPH) with a short acting insulin (regular). In the correct order from 1 through 6, match the step number with the action that you would take to teach the patient self-administration of this combination of insulin. -Step 1

Which heart condition is not a contraindication for pregnancy?

You are preparing to teach an antepartum patient with gestational diabetes the correct method of administering an intermediate acting insulin (NPH) with a short acting insulin (regular). In the correct order from 1 through 6, match the step number with the action that you would take to teach the patient self-administration of this combination of insulin. -Step 2

Nurses caring for antepartum women with cardiac conditions should be aware that: