Exam 26: Concurrent Disorders During Pregnancy

When a pregnant client with diabetes experiences hypoglycemia while hospitalized, which should the nurse have the client do?

The labor nurse is providing care to a patient at 37 weeks' gestation who is an insulin-dependent diabetic. The health care provider prescribes an infusion of insulin throughout her induction to be titrated to keep her blood glucose levels below 110 mg/dL. What type of insulin will the nurse select to prepare the infusion?

Which factor is most important in diminishing maternal, fetal, and neonatal complications in a pregnant client with diabetes?

Which form of heart disease in women of childbearing years usually has a benign effect on pregnancy?

The labor nurse is admitting a patient in active labor with a history of genital herpes. On assessment, the patient reports a recent outbreak, and the nurse verifies lesions on the perineum. What is the nurse's next action?

Antiinfective prophylaxis is indicated for a pregnant client with a history of mitral valve stenosis related to rheumatic heart disease because the client is at risk of developing:

The most important instruction to include in a teaching plan for a client in early pregnancy who has Class I heart disease is she:

Which major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?

Which client teaching instructions are necessary for a pregnant client who is to undergo a glucose challenge test (GCT) as part of a routine pregnancy treatment plan?

Which disease process improves during pregnancy?

Nursing intervention for pregnant clients with diabetes is based on the knowledge that the need for insulin is:

A client, who delivered her third child yesterday, has just learned that her two school-age children have contracted chickenpox. What should the nurse tell her?

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

The nurse is reviewing the instructions given to a patient at 24 weeks' gestation for a glucose tolerance test (GCT). The nurse determines that the patient understands the teaching when she makes which statement?

When planning intrapartum care for a client with heart disease, the nurse should include:

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

An infant of a diabetic mom arrives in the nursery unit for observation. The infant is term at 38 weeks' gestation and weighs 10 pounds. The maternal hemoglobin A1c level is noted at 10%. Which findings would the nurse suspect as being present? (Select all that apply.)

A client who has type 2 diabetes is pregnant with her second child. She was not diagnosed with diabetes until after her first pregnancy. Past obstetric history is unremarkable-spontaneous vaginal birth of a male weighing 7 pounds, 15 ounces. The client is now concerned over what will happen during this subsequent pregnancy as a result of her disease process. What impact could the disease process have on her upcoming birth?

A client has tested HIV-positive and has now discovered that she is pregnant. Which statement indicates that she understands the risks of this diagnosis?

Which postpartum client requires further assessment?