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Unit 4 exam Maternal Child with complete solutions
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Unit 4 exam Maternal Child with complete solutions
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Unit 4 exam Maternal Child with completesolutions
The nnnurse nnis nncaring nnfor nna nnwoman nnwith nnmitral nnstenosis nnwho nnis nnin nnthe nnactive nnstage. nnWhich
nnaction nnshould nnthe nnnurse nntake nnto nnpromote nncardiac nnfunction?
A. nnMaintain nnthe nnwoman nnin nna nnside-lying nnposition nnwith nnthe nnhead nnand nnshoulders nnelevated nnto
nnfacilitate nnhemodynamics nn
B. nnPrepare nnthe nnwoman nnfor nndelivery nnby nncesarean nnsection nnsince nnthis nnis nnthe nnrecommended
nndelivery nnmethod nnto nnsustain nnhemodynamics
C. nnEncourage nnthe nnwoman nnto nnavoid nnthe nnuse nnof nnnarcotics nnor nnepidural nnregional nnanalgesia nnsince
nnthis nnalters nncardiac nnfunction
D. nnPromote nnthe nnuse nnof nnthe nnValsalva nnmaneuver nnduring nnpushing nnin nnthe nnsecond nnstage nnto nnimprove
nndiastolic nnventricular nnfilling nn- nncorrect nnanswers-A. nnMaintain nnthe nnwoman nnin nna nnside-lying nnposition
nnwith nnthe nnhead nnand nnshoulders nnelevated nnto nnfacilitate nnhemodynamics nn
The nnside-lying nnposition nnwith nnthe nnhead nnand nnshoulders nnelevated nnhelps nnto nnfacilitate nnhemodynamics
nnduring nnlabor. nnA nnvaginal nndelivery nnis nnthe nnpreferred nnmethod nnof nndelivery nnfor nna nnwoman nnwith
nncardiac nndisease nnas nnit nnsustains nnhemodynamics nnbetter nnthan nna nncesarean nnsection. nnThe nnuse nnof
nnsupportive nncare, nnmedication, nnand nnnarcotics nnor nnepidural nnregional nnanalgesia nnis nnnot
nncontraindicated nnwith nna nnwoman nnwith nnheart nndisease. nnThe nnuse nnof nnthe nnValsalva nnmaneuver nnduring
nnpushing nnin nnthe nnsecond nnstage nnshould nnbe nnavoided nnbecause nnit nnreduces nndiastolic nnventricular nnfilling
nnand nnobstructs nnleft nnventricular nnoutflow.
Awarded nn0.0 nnpoints nnout nnof nn1.0 nnpossible nnpoints.
Maternal nnand nnneonatal nnrisks nnassociated nnwith nngestational nndiabetes nnmellitus nnare:
A. nnmaternal nnpremature nnrupture nnof nnmembranes nnand nnneonatal nnsepsis.
B. nnmaternal nnhyperemesis nnand nnneonatal nnlow nnbirth nnweight.
C. nnmaternal nnpreeclampsia nnand nnfetal nnmacrosomia.
D. nnmaternal nnplacenta nnprevia nnand nnfetal nnprematurity. nn- nncorrect nnanswers-C. nnmaternal nnpreeclampsia
nnand nnfetal nnmacrosomia.
,Premature nnrupture nnof nnmembranes nnand nnneonatal nnsepsis nnare nnnot nnrisks nnassociated nnwith
nngestational nndiabetes. nnHyperemesis nnis nnnot nnseen nnwith nngestational nndiabetes, nnnor nnis nnthere nnan
nnassociation nnwith nnlow nnbirth nnweight nnof nnthe nninfant. nnWomen nnwith nngestational nndiabetes nnhave nntwice
nnthe nnrisk nnof nndeveloping nnhypertensive nndisorders nnsuch nnas nnpreeclampsia, nnand nnthe nnbaby nnusually
nnhas nnmacrosomia. nnPlacental nnprevia nnand nnsubsequent nnprematurity nnof nnthe nnneonate nnare nnnot nnrisks
nnassociated nnwith nngestational nndiabetes.
In nnplanning nnfor nnthe nncare nnof nna nn30-year-old nnwoman nnwith nnpregestational nndiabetes, nnthe nnnurse
nnrecognizes nnthat nnthe nnmost nnimportant nnfactor nnaffecting nnpregnancy nnoutcome nnis nnthe:
A. nnmother's nnage.
B. nnnumber nnof nnyears nnsince nndiabetes nnwas nndiagnosed.
C. nnamount nnof nninsulin nnrequired nnprenatally. nn- nncorrect nnanswers-D. nndegree nnof nnglycemic nncontrol
nnduring nnpregnancy. nn
Although nnadvanced nnmaternal nnage nnmay nnpose nnsome nnhealth nnrisks, nnfor nnthe nnwoman nnwith
nnpregestational nndiabetes nnthe nnmost nnimportant nnfactor nnremains nnthe nndegree nnof nnglycemic nncontrol
nnduring nnpregnancy. nnThe nnnumber nnof nnyears nnsince nndiagnosis nnis nnnot nnas nnrelevant nnto nnoutcomes nnas
nnthe nndegree nnof nnglycemic nncontrol. nnThe nnkey nnto nnreducing nnrisk nnin nnthe nnpregestational nndiabetic
nnwoman nnis nnnot nnthe nnamount nnof nninsulin nnrequired nnbut nnrather nnthe nnlevel nnof nnglycemic nncontrol.
nnWomen nnwith nnexcellent nnglucose nncontrol nnand nnno nnblood nnvessel nndisease nnshould nnhave nngood
nnpregnancy nnoutcomes.
Diabetes nnin nnpregnancy nnputs nnthe nnfetus nnat nnrisk nnin nnseveral nnways. nnNurses nnshould nnbe nnaware nnthat:
A. nnwith nngood nncontrol nnof nnmaternal nnglucose nnlevels, nnsudden nnand nnunexplained nnstillbirth nnis nnno
nnlonger nna nnmajor nnconcern.
B. nnthe nnmost nnimportant nncause nnof nnperinatal nnloss nnin nndiabetic nnpregnancy nnis nncongenital
nnmalformations. nn
C. nninfants nnof nnmothers nnwith nndiabetes nnhave nnthe nnsame nnrisks nnfor nnrespiratory nndistress nnsyndrome
nnbecause nnof nnthe nncareful nnmonitoring.
D. nnat nnbirth, nnthe nnneonate nnof nna nndiabetic nnmother nnis nnno nnlonger nnat nnany nngreater nnrisk.
Even nnwith nngood nncontrol, nnsudden nnand nnunexplained nnstillbirth nnremains nna nnmajor nnconcern.
nnCongenital nnmalformations nnaccount nnfor nn30% nnto nn50% nnof nnperinatal nndeaths. nnInfants nnof nndiabetic
nnmothers nnare nnat nnincreased nnrisk nnfor nnrespiratory nndistress nnsyndrome. nnThe nntransition nnto nnextrauterine
nnlife nnoften nnis nnmarked nnby nnhypoglycemia nnand nnother nnmetabolic nnabnormalities. nn- nncorrect nnanswers-B.
nnthe nnmost nnimportant nncause nnof nnperinatal nnloss nnin nndiabetic nnpregnancy nnis nncongenital nnmalformations.
nn
,Even nnwith nngood nncontrol, nnsudden nnand nnunexplained nnstillbirth nnremains nna nnmajor nnconcern.
nnCongenital nnmalformations nnaccount nnfor nn30% nnto nn50% nnof nnperinatal nndeaths. nnInfants nnof nndiabetic
nnmothers nnare nnat nnincreased nnrisk nnfor nnrespiratory nndistress nnsyndrome. nnThe nntransition nnto nnextrauterine
nnlife nnoften nnis nnmarked nnby nnhypoglycemia nnand nnother nnmetabolic nnabnormalities.
A nnpregnant nnwoman nnat nn28 nnweeks nnof nngestation nnhas nnbeen nndiagnosed nnwith nngestational nndiabetes.
nnThe nnnurse nncaring nnfor nnthis nnclient nnunderstands nnthat:
A. nnoral nnhypoglycemic nnagents nncan nnbe nnused nnif nnthe nnwoman nnis nnreluctant nnto nngive nnherself nninsulin.
B. nndietary nnmodifications nnand nninsulin nnare nnboth nnrequired nnfor nnadequate nntreatment.
C. nnglucose nnlevels nnare nnmonitored nnby nntesting nnurine nn4r nntimes nna nnday nnand nnat nnbedtime.
D. nndietary nnmanagement nninvolves nndistributing nnnutrient nnrequirements nnover nnthree nnmeals nnand nntwo
nnor nnthree nnsnacks.
Oral nnhypoglycemic nnagents nncan nnbe nnharmful nnto nnthe nnfetus nnand nnless nneffective nnthan nninsulin nnin
nnachieving nntight nnglucose nncontrol. nnIn nnsome nnwomen nngestational nndiabetes nncan nnbe nncontrolled nnwith
nndietary nnmodifications nnalone. nnBlood, nnnot nnurine, nnglucose nnlevels nnare nnmonitored nnseveral nntimes nna
nnday. nnUrine nnis nntested nnfor nnketone nncontent; nnresults nnshould nnbe nnnegative. nnSmall nnfrequent nnmeals
nnover nna nn24-hour nnperiod nnhelp nndecrease nnthe nnrisk nnfor nnhypoglycemia nnand nnketoac nn- nncorrect
nnanswers-D. nndietary nnmanagement nninvolves nndistributing nnnutrient nnrequirements nnover nnthree nnmeals
nnand nntwo nnor nnthree nnsnacks.
Oral nnhypoglycemic nnagents nncan nnbe nnharmful nnto nnthe nnfetus nnand nnless nneffective nnthan nninsulin nnin
nnachieving nntight nnglucose nncontrol. nnIn nnsome nnwomen nngestational nndiabetes nncan nnbe nncontrolled nnwith
nndietary nnmodifications nnalone. nnBlood, nnnot nnurine, nnglucose nnlevels nnare nnmonitored nnseveral nntimes nna
nnday. nnUrine nnis nntested nnfor nnketone nncontent; nnresults nnshould nnbe nnnegative. nnSmall nnfrequent nnmeals
nnover nna nn24-hour nnperiod nnhelp nndecrease nnthe nnrisk nnfor nnhypoglycemia nnand nnketoacidosis.
A nnnurse nnis nncaring nnfor nna nnwoman nnwith nnmitral nnstenosis nnwho nnis nnin nnthe nnactive nnstage. nnWhich nnaction
nnshould nnthe nnnurse nntake nnto nnpromote nncardiac nnfunction?
A. nnMaintain nnthe nnwoman nnin nna nnside-lying nnposition nnwith nnthe nnhead nnand nnshoulders nnelevated nnto
nnfacilitate nnhemodynamics. nn
B. nnPrepare nnthe nnwoman nnfor nndelivery nnby nncesarean nnsection nnbecause nnthis nnis nnthe nnrecommended
nndelivery nnmethod nnto nnsustain nnhemodynamics.
C. nnEncourage nnthe nnwoman nnto nnavoid nnthe nnuse nnof nnnarcotics nnor nnepidural nnregional nnanalgesia nnbecause
nnthis nnalters nncardiac nnfunction.
, D. nnPromote nnthe nnuse nnof nnthe nnValsalva nnmaneuver nnduring nnpushing nnin nnthe nnsecond nnstage nnto nnimprove
nndiastolic nnventricular nnfilling. nn- nncorrect nnanswers-A. nnMaintain nnthe nnwoman nnin nna nnside-lying nnposition
nnwith nnthe nnhead nnand nnshoulders nnelevated nnto nnfacilitate nnhemodynamics. nn
The nnside-lying nnposition nnwith nnthe nnhead nnand nnshoulders nnelevated nnhelps nnfacilitate nnhemodynamics
nnduring nnlabor. nnA nnvaginal nndelivery nnis nnthe nnpreferred nnmethod nnfor nna nnwoman nnwith nncardiac nndisease
nnbecause nnit nnsustains nnhemodynamics nnbetter nnthan nna nncesarean nnsection. nnThe nnuse nnof nnsupportive
nncare, nnmedication, nnand nnnarcotics nnor nnepidural nnregional nnanalgesia nnis nnnot nncontraindicated nnwith nna
nnwoman nnwith nnheart nndisease. nnEpidural nnanesthesia nnfor nnlabor nnis nnpreferred. nn(Easterling nnand nnStout,
nn2012). nnUsing nnthe nnValsalva nnmaneuver nnduring nnpushing nnin nnthe nnsecond nnstage nnshould nnbe nnavoided
nnbecause nnit nnreduces nndiastolic nnventricular nnfilling nnand nnobstructs nnleft nnventricular nnoutflow.
During nna nnphysical nnassessment nnof nnan nnat-risk nnclient, nnthe nnnurse nnnotes nngeneralized nnedema, nncrackles
nnat nnthe nnbase nnof nnthe nnlungs, nnand nnsome nnpulse nnirregularity. nnThese nnare nnmost nnlikely nnsigns nnof:
A. nneuglycemia.
B. nnrheumatic nnfever.
C. nnpneumonia.
D. nncardiac nndecompensation. nn
Euglycemia nnis nna nncondition nnof nnnormal nnglucose nnlevels. nnThese nnsymptoms nnindicate nncardiac
nndecompensation. nnRheumatic nnfever nncan nncause nnheart nnproblems, nnbut nnit nndoes nnnot nnpresent nnwith
nnthese nnsymptoms, nnwhich nnindicate nncardiac nndecompensation. nnPneumonia nnis nnan nninflammation nnof
nnthe nnlungs nnand nnwould nnnot nnlikely nngenerate nnthese nnsymptoms, nnwhich nnindicate nncardiac
nndecompensation. nnSymptoms nnof nncardiac nndecompensation nnmay nnappear nnabruptly nnor nngradually. nn-
nncorrect nnanswers-D. nncardiac nndecompensation. nn
Euglycemia nnis nna nncondition nnof nnnormal nnglucose nnlevels. nnThese nnsymptoms nnindicate nncardiac
nndecompensation. nnRheumatic nnfever nncan nncause nnheart nnproblems, nnbut nnit nndoes nnnot nnpresent nnwith
nnthese nnsymptoms, nnwhich nnindicate nncardiac nndecompensation. nnPneumonia nnis nnan nninflammation nnof
nnthe nnlungs nnand nnwould nnnot nnlikely nngenerate nnthese nnsymptoms, nnwhich nnindicate nncardiac
nndecompensation. nnSymptoms nnof nncardiac nndecompensation nnmay nnappear nnabruptly nnor nngradually.
Thalassemia nnis nna nnrelatively nncommon nnanemia nnin nnwhich:
A. nnan nninsufficient nnamount nnof nnhemoglobin nnis nnproduced nnto nnfill nnthe nnred nnblood nncells nn(RBCs).
nnCorrect
B. nnRBCs nnhave nna nnnormal nnlife nnspan nnbut nnare nnsickled nnin nnshape.
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