Exam 11: Pregnancy at Risk: Preexisting Conditions

A woman with asthma is experiencing a postpartum hemorrhage.Which drug would not be used to treat her bleeding because it may exacerbate her asthma?

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 4

During a physical assessment of an at-risk client,the nurse notes generalized edema,crackles at the base of the lungs,and some pulse irregularity.These are most likely signs of:

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 5

Maternal phenylketonuria (PKU)is an important health concern during pregnancy because:

As related to the care of the patient with anemia,the nurse should be aware that:

A 26-year-old primigravida has come to the clinic for her regular prenatal visit at 12 weeks.She appears thin and somewhat nervous.She reports that she eats a well-balanced diet,although her weight is 5 pounds less than it was at her last visit.The results of laboratory studies confirm that she has a hyperthyroid condition.Based on the available data,the nurse formulates a plan of care.What nursing diagnosis is most appropriate for the woman at this time?

Nursing intervention for the pregnant diabetic patient is based on the knowledge that the need for insulin:

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 3

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

A new mother with which of these thyroid disorders would be strongly discouraged from breastfeeding?

Diabetes refers to a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin action,insulin secretion,or both.Over time,diabetes causes significant changes in the microvascular and macrovascular circulations.These complications include:

Autoimmune disorders often occur during pregnancy because a large percentage of women with an autoimmune disorder are of childbearing age.Identify all disorders that fall into the category of collagen vascular disease.

With regard to the association of maternal diabetes and other risk situations affecting mother and fetus,nurses should be aware that:

Since the gene for cystic fibrosis was identified in 1989,data can be collected for the purposes of genetic counseling for couples regarding carrier status.According to statistics,how often does cystic fibrosis occur in Caucasian live births?

Glucose metabolism is profoundly affected during pregnancy because:

While providing care in an obstetric setting,the nurse should understand that postpartum care of the woman with cardiac disease:

Marfan syndrome is an autosomal dominant genetic disorder that displays as weakness of the connective tissue,joint deformities,ocular dislocation,and weakness to the aortic wall and root.While providing care to a client with Marfan syndrome during labor,which intervention should the nurse complete first?

An 18-year-old client who has reached 16 weeks of gestation was recently diagnosed with pregestational diabetes.She attends her centering appointment accompanied by one of her girlfriends.This young woman appears more concerned about how her pregnancy will affect her social life than about her recent diagnosis of diabetes.Several nursing diagnoses are applicable to assist in planning adequate care.The most appropriate diagnosis at this time is:

To manage her diabetes appropriately and ensure a good fetal outcome,the pregnant woman with diabetes will need to alter her diet by: