Exam 13: Pregnancy at Risk: Preexisting Conditions

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:

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

Diabetes in pregnancy puts the fetus at risk in several ways. Nurses should be aware that:

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?

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:

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

In caring for a pregnant woman with sickle cell anemia with increased blood viscosity,the nurse is concerned about the development of a thromboembolism. Nursing care would include:

Most women with gestational diabetes mellitus (GDM) develop type 2 diabetes in the postpartum period.

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:

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:

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

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 rather than her recent diagnosis of diabetes. A number of nursing diagnoses are applicable to assist in planning adequate care. The most appropriate diagnosis at this time is:

With what heart condition is pregnancy not usually contraindicated?

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?

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

Achieving and maintaining constant ____________________,with blood glucose levels in the range of 60 to 120 mg/dl,is the primary goal of medical therapy for the pregnant woman with diabetes. This is achieved through a combination of diet,insulin,exercise,and blood glucose monitoring.

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

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