Exam 11: High-Risk Perinatal Care: Preexisting Conditions

MATCHING 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

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

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

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

The most common neurologic disorder accompanying pregnancy is:

Glucose metabolism is profoundly affected during pregnancy because:

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.

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

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 _________________.

MATCHING 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

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 lbs 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?

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:

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

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

Which heart condition is not a contraindication for pregnancy?

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

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

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

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

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