Exam 19: Pregnancy at Risk: Pregestational Problems

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

The nurse is reviewing prenatal charts. A patient at 24 weeks' gestation has a history of class II heart disease secondary to rheumatic fever. What would the nurse expect to see in the chart?

The patient at 9 weeks' gestation has been told that her HIV test was positive. The patient is very upset, and tells the nurse, "I didn't know I had HIV! What will this do to my baby?" The nurse knows teaching has been effective when the patient states:

The patient with insulin-dependent type 2 diabetes and an HbA1c of

The nurse is working with a pregnant woman who has systemic lupus erythematosus (SLE). The nurse anticipates the infant might be born with:

The nurse is working with a woman who abuses stimulants. The nurse is aware that the fetus is at 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 patient needs further teaching?

The nurse is evaluating the plan of care for a pregnant patient with a heart disorder. The nurse concludes that the plan was successful when data indicate that the woman:

A diabetic patient goes into labor at 36 weeks' gestation. Provided that tests for fetal lung maturity are successful, the nurse will anticipate:

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

A 26-year-old multipara is 26 weeks pregnant. Her previous births include two large-for-gestational-age babies and one unexplained stillbirth. Which tests would the nurse anticipate as being most definitive in diagnosing gestational diabetes?

A pregnant asthmatic patient is being seen for her initial prenatal visit. The nurse knows that the fetal implications of maternal asthma are:

The prenatal clinic nurse has received four phone calls. Which patient should the nurse call back first?

The clinic nurse is teaching a pregnant patient about her iron supplement. Information in the teaching plan includes:

During the history, the patient admits to being HIV-positive and says she knows that she is about 16 weeks pregnant. Which statements made by the patient indicate an understanding of the plan of care both during the pregnancy and postpartally?

The nurse has written the nursing diagnosis Risk for Injury for a diabetic pregnant patient. Interventions for this diagnosis include:

A patient with type 1 diabetes is receiving preconception counseling. The nurse will emphasize that during the first trimester, the woman might experience:

A newly diagnosed nsulin-dependent type 1 idiabetic with good blood sugar control is at 20 weeks' gestation. She asks the nurse how her diabetes will affect her baby. The best explanation would include:

While doing a prenatal assessment on a woman who has hepatitis B and intends to become pregnant, the nurse explains the impact of the hepatitis B on pregnancy and birth. Which statement does the nurse include in the teaching?

A patient 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: