Exam 20: Pregnancy at Risk: Preexisting Conditions

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 woman states:

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

In teaching the woman with pregestational diabetes about desired glucose levels, the nurse explains that a normal fasting glucose level, such as before breakfast, is in the range of:

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

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

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

Screening questions for alcohol and drug abuse should be included in the overall assessment during the first prenatal visit for all women. The 4 Ps Plus is a screening tool designed specifically to identify when there is a need for a more in-depth assessment. The 4 Ps include all except:

Methamphetamine use during pregnancy is a growing problem that the nurse working with obstetric patients must be cognizant of. When caring for the patient who uses methamphetamines, it is important for the nurse to be aware of which factor related to the abuse of this substance?

In caring for a pregnant woman with sickle cell crisis, the nurse understands that management of this patient includes all except:

When caring for a pregnant woman with cardiac problems, the nurse must be alert for signs and symptoms of cardiac decompensation, which are:

Systemic lupus erythematosus is a chronic multisystem inflammatory disease that affects skin, joints, kidney, lungs, CNS, liver, and other organs. A lupus flare up during pregnancy or early postpartum occurs in 15% to 60% of women with this disorder. Maternal risks include (choose all that apply):

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

Screening at 24 weeks of gestation reveals that a pregnant woman has gestational diabetes mellitus (GDM). In planning her care, the nurse and the woman mutually agree that an expected outcome is to prevent injury to the fetus as a result of GDM. The nurse identifies that the fetus is at greatest risk for:

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

The standard of care for women who are dependent on heroin or other narcotics is ____________________ maintenance treatment (MMT).

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

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?

With what heart condition is pregnancy not usually contraindicated?

Metabolic changes throughout pregnancy that affect glucose and insulin in the mother and the fetus are complicated but important to understand. Nurses should know that:

Since the gene for cystic fibrosis was identified in 1989, it has been possible to collect data for the purposes of genetic counseling for couples in regard to carrier status. According to statistics, how often does cystic fibrosis occur in Caucasian live births?