Chapter 20 Maternity and Pediatric Nursing 2nd Edition

Chapter 20  Maternity and Pediatric Nursing 2nd Edition

Complete Chapter Questions And Answers
 

Sample Questions

1.
The nurse is teaching a pregnant woman with type 1 diabetes about her diet during pregnancy. Which client statement indicates that the nurse’s teaching was successful?
A)
“I’ll basically follow the same diet that I was following before I became pregnant.”
B)
“Because I need extra protein, I’ll have to increase my intake of milk and meat.”
C)
“Pregnancy affects insulin production, so I’ll need to make adjustments in my diet.”
D)
“I’ll adjust my diet and insulin based on the results of my urine tests for glucose.”

2.
A nurse is developing a program for pregnant women with diabetes about reducing complications. Which factor would the nurse identify as being most important in helping to reduce the maternal/fetal/neonatal complications associated with pregnancy and diabetes?
A)
Stability of the woman’s emotional and psychological status
B)
Degree of glycemic control achieved during the pregnancy
C)
Evaluation of retinopathy by an ophthalmologist
D)
Blood urea nitrogen level (BUN) within normal limits

3.
Because a pregnant client’s diabetes has been poorly controlled throughout her pregnancy, the nurse would be alert for which of the following in the neonate at birth?
A)
Macrosomia
B)
Hyperglycemia
C)
Low birth weight
D)
Hypobilirubinemia

4.
A woman with diabetes is considering becoming pregnant. She asks the nurse whether she will be able to take oral hypoglycemics when she is pregnant. The nurse’s response is based on the understanding that oral hypoglycemics:
A)
Can be used as long as they control serum glucose levels
B)
Can be taken until the degeneration of the placenta occurs
C)
Are usually suggested primarily for women who develop gestational diabetes
D)
Show promising results but more studies are needed to confirm their effectiveness

5.
A 10-week pregnant woman with diabetes has a glycosylated hemoglobin (HbA1C) level of 13%. At this time the nurse should be most concerned about which of the following possible fetal outcomes?
A)
Congenital anomalies
B)
Incompetent cervix
C)
Placenta previa
D)
Abruptio placentae

6.
After teaching a group of students about the use of antiretroviral agents in pregnant women who are HIV-positive, the instructor determines that the teaching was successful when the group identifies which of the following as the underlying rationale?
A)
Reduction in viral loads in the blood
B)
Treatment of opportunistic infections
C)
Adjunct therapy to radiation and chemotherapy
D)
Can cure acute HIV/AIDS infections

Answer Key

1.
C
2.
B
3.
A
4.
D
5.
A
6.
A