Exam 15: Pregnancy at Risk: Pregestational Problems

A 26-year-old multigravida at 28 weeks' gestation has developed gestational diabetes.She has a program of regular exercise that includes walking,bicycling,and swimming.What instructions should be included in a teaching plan for this client?

A 21-year-old at 12 weeks' gestation with her first baby has known cardiac disease,class III,as a result of childhood rheumatic fever.During a prenatal visit,the nurse reviews the signs of cardiac decompensation with her.The nurse will know that the client understands these signs and symptoms if she states,"I would notify my doctor if I have:

A woman is married to an intravenous drug user.She had a negative HIV screening test just after missing her first menstrual period.Which of the following would indicate that the client needs to be retested for HIV?

The client has just been diagnosed as diabetic.The nurse knows teaching was effective when the client says:

A 20-year-old woman is at 28 weeks' gestation.Her prenatal history reveals previous drug abuse,and urine screening indicates that she has recently used heroin.The nurse should recognize that the woman is at increased risk for:

A 21-year-old woman is at 12 weeks' gestation with her first baby.She has cardiac disease,class III,as a result of having had childhood rheumatic fever.Which planned activity would indicate to the nurse that the client needs further teaching?

A 26-year-old multipara is at 24 weeks' gestation.Her previous births include two large-for-gestational-age babies and one unexplained stillbirth.With this history,what assessment is most important?

A client admits to being HIV-positive,and that she is at about 16 weeks' gestation.Which statements made by the client indicate an understanding of the plan of care both during the pregnancy and postpartally? Select all that apply.

A woman asks her doctor what she can do before she begins trying to get pregnant to help her baby,since she is prone to anemia.The doctor correctly advises her to:

A 26-year-old multipara is at 26 weeks' gestation.Her previous births include two large-for-gestational-age babies and one unexplained stillbirth.The nurse suspects gestational diabetes.Which tests would the nurse anticipate as being most definitive in making a diagnosis?

A newly diagnosed type 1,well-controlled,insulin-dependent diabetic client at 20 weeks' gestation asks the nurse how her diabetes will affect her baby.The best explanation would include:

A woman's history and appearance suggest drug abuse.The nurse's best approach would be to:

A client is at 12 weeks' gestation with her first baby.She has cardiac disease,class III.She states that she had been taking sodium warfarin (Coumadin),but her physician changed her to heparin.She asks the nurse why this was done.The nurse's response should be:

A client has a history of rheumatic heart disease as a child,with residual effects.She is concerned for her health and the safety of her current pregnancy.The client asks the nurse,"When am I most likely to experience problems related to my heart condition?" The nurse's best response is:

A woman at 32 weeks' gestation .is HIV-positive but asymptomatic.What would be important in managing her pregnancy and delivery?