Question 1

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

Accepted Answer

A)  anemia. 
B)  endometritis. 
C)  fever and pain. 
D)  urinary tract infection. 
A)  anemia. 
B)  endometritis. 
C)  fever and pain. 
D)  urinary tract infection.

Question 2

A woman who delivered her third child yesterday has just learned that her two school-age children have contracted chickenpox.What action by the nurse is best?

Accepted Answer

A)  Assess if the woman has had chickenpox or been vaccinated. 
B)  Tell her that the baby has immunity from her and is not susceptible. 
C)  Advise her if she is non-immune, she will get vaccinated at her 2-week postpartum checkup. 
D)  The infant will receive prophylactic acyclovir before discharge. 
A)  Assess if the woman has had chickenpox or been vaccinated. 
B)  Tell her that the baby has immunity from her and is not susceptible. 
C)  Advise her if she is non-immune, she will get vaccinated at her 2-week postpartum checkup. 
D)  The infant will receive prophylactic acyclovir before discharge.

Question 3

With regard to anemia,nurses should be aware that

Accepted Answer

A)  it is the most common medical disorder of pregnancy. 
B)  it can trigger reflex brachycardia. 
C)  the most common form of anemia is caused by folate deficiency. 
D)  thalassemia is a European version of sickle cell anemia. 
A)  it is the most common medical disorder of pregnancy. 
B)  it can trigger reflex brachycardia. 
C)  the most common form of anemia is caused by folate deficiency. 
D)  thalassemia is a European version of sickle cell anemia.

Question 4

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 patient states

Accepted Answer

A)  "I will need to increase my insulin dosage during the first 3 months of pregnancy." 
B)  "Insulin dosage will likely need to be increased during the second and third trimesters." 
C)  "Episodes of hypoglycemia are more likely to occur during the first 3 months." 
D)  "Insulin needs should return to normal within 7 to 10 days after birth if I am bottle feeding." 
A)  "I will need to increase my insulin dosage during the first 3 months of pregnancy." 
B)  "Insulin dosage will likely need to be increased during the second and third trimesters." 
C)  "Episodes of hypoglycemia are more likely to occur during the first 3 months." 
D)  "Insulin needs should return to normal within 7 to 10 days after birth if I am bottle feeding."

Question 5

For which of the infectious diseases can a woman be immunized?

Accepted Answer

A)  Toxoplasmosis 
B)  Rubella 
C)  Cytomegalovirus 
D)  Herpesvirus type 2 
A)  Toxoplasmosis 
B)  Rubella 
C)  Cytomegalovirus 
D)  Herpesvirus type 2

Question 6

The student nurse learns that maternal complications of diabetes include which of the following? (Select all that apply.)

Accepted Answer

A)  Atherosclerosis 
B)  Retinopathy 
C)  IUFD 
D)  Nephropathy 
E)  Caudal regression syndrome 
A)  Atherosclerosis 
B)  Retinopathy 
C)  IUFD 
D)  Nephropathy 
E)  Caudal regression syndrome

Question 7

To manage her diabetes appropriately and ensure a good fetal outcome,the pregnant woman with diabetes will need to alter her diet by doing which of the following?

Accepted Answer

A)  Eating six small equal meals per day 
B)  Reducing carbohydrates in her diet 
C)  Eating her meals and snacks on a fixed schedule 
D)  Increasing her consumption of protein 
A)  Eating six small equal meals per day 
B)  Reducing carbohydrates in her diet 
C)  Eating her meals and snacks on a fixed schedule 
D)  Increasing her consumption of protein

Question 8

The nurse understands that postpartum care of the woman with cardiac disease

Accepted Answer

A)  is the same as that for any pregnant woman. 
B)  includes rest and monitoring of the effect of activity. 
C)  includes ambulating frequently, alternating with active range of motion. 
D)  includes limiting visits with the infant to once per day. 
A)  is the same as that for any pregnant woman. 
B)  includes rest and monitoring of the effect of activity. 
C)  includes ambulating frequently, alternating with active range of motion. 
D)  includes limiting visits with the infant to once per day.

Question 9

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

Accepted Answer

A)  Craniofacial abnormalities 
B)  Congenital heart disease 
C)  Neural tube defects 
D)  Gastroschisis 
E)  Diaphragmatic hernia 
A)  Craniofacial abnormalities 
B)  Congenital heart disease 
C)  Neural tube defects 
D)  Gastroschisis 
E)  Diaphragmatic hernia

Question 10

Glucose metabolism is profoundly affected during pregnancy because

Accepted Answer

A)  pancreatic function in the islets of Langerhans is affected by pregnancy. 
B)  the pregnant woman uses glucose at a more rapid rate than the nonpregnant woman. 
C)  the pregnant woman increases her dietary intake significantly. 
D)  placental hormones are antagonistic to insulin, resulting in insulin resistance. 
A)  pancreatic function in the islets of Langerhans is affected by pregnancy. 
B)  the pregnant woman uses glucose at a more rapid rate than the nonpregnant woman. 
C)  the pregnant woman increases her dietary intake significantly. 
D)  placental hormones are antagonistic to insulin, resulting in insulin resistance.

Exam 26: Concurrent Disorders during Pregnancy

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

A woman who delivered her third child yesterday has just learned that her two school-age children have contracted chickenpox.What action by the nurse is best?

With regard to anemia,nurses should be aware that

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 patient states

For which of the infectious diseases can a woman be immunized?

The student nurse learns that maternal complications of diabetes include which of the following? (Select all that apply.)

To manage her diabetes appropriately and ensure a good fetal outcome,the pregnant woman with diabetes will need to alter her diet by doing which of the following?

The nurse understands that postpartum care of the woman with cardiac disease

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

Glucose metabolism is profoundly affected during pregnancy because

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating with Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion During Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family with Special Needs

Pregnancy-Related Complications

The Woman with an Intrapartum Complication

The Woman with a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High-Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s HealthCare

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child with a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child with a Fluid and Electrolyte Alteration

The Child with an Infectious Disease

The Child with an Immunologic Alteration

The Child with a Gastrointestinal Alteration

The Child with a Genitourinary Alteration

The Child with a Respiratory Alteration

The Child with a Cardiovascular Alteration

The Child with a Hematologic Alteration

The Child with Cancer

The Child with an Alteration in Tissue Integrity

The Child with a Musculoskeletal Alteration

The Child with an Endocrine or Metabolic Alteration

The Child with a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With an Intellectual Disability or Developmental Disability

The Child with a Sensory Alteration

Filters