Exam 29: Endocrine and Metabolic Disorders in Pregnancy

A nurse caring for a woman hospitalized for hyperemesis gravidarum expects that initial treatment will involve:

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:

Achieving and maintaining constant ____________________,with blood glucose levels in the range of 65 to 140 mg/dl,is the primary goal of medical therapy for the pregnant woman with diabetes.

Most women with gestational diabetes mellitus (GDM)develop type 2 diabetes in the postpartum period.Is this statement true or false?

A 26-year-old primigravida has come to the clinic for her regular prenatal visit at 12 weeks.She appears thin and somewhat nervous.She reports that she eats a well-balanced diet,although her weight is 5 pounds less than it was at her last visit.The results of laboratory studies confirm that she has a hyperthyroid condition.Based on the available data,the nurse formulates a plan of care.What nursing diagnosis is most appropriate for the woman at this time?

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:

Pregnancies complicated by nausea and vomiting generally have a more favorable outcome than those without symptoms.Is this statement true or false?

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:

In terms of the incidence and classification of diabetes,maternity nurses should know that:

A serious but uncommon complication of undiagnosed or partially treated hyperthyroidism is thyroid storm,which may occur in response to stress such as infection,birth,or surgery.Symptoms of this emergency disorder include (choose all that apply):

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

In teaching a woman with pregestational diabetes about desired glucose levels,the nurse explains that a normal fasting glucose level,such as before breakfast,is in the range of:

Preconception counseling is critical to the outcome of diabetic pregnancies because poor glycemic control before and during early pregnancy is associated with:

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

During a prenatal visit a nurse is explaining dietary management to a woman with pregestational diabetes.The nurse evaluates that teaching has been effective when the woman states:

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

Metabolic changes throughout pregnancy that affect glucose and insulin in the mother and the fetus are complicated but important to understand.Nurses should know that: