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N164 Exam 3 EAQs Questions And Correct Answers
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N164 Exam 3 EAQs Questions And Correct AnswersIn treatment of SLE in a pregnant patient, which of the following medications is
preferred?
a) Aspirin
b) Corticosteroids
c) Prednisone
d) Hydroxychloroquine
d) Hydroxychloroquine
--> decreases SLE disease activity in a pregnant patient without any adverse affects on
the fetus
At what stage do symptoms of asthma in a pregnant patient usually reach their peak?
a) In the first trimester
b) Immediately postpartum
c) Between 17 to 24 weeks of gestation
d) During the last 4 weeks of pregnancy
c) Between 17 to 24 weeks of gestation
6 Ways to Show Appreciation for Your Child's Teacher
Which clinical finding in a pregnant patient will indicate normal development of the fetal
brain?
a) Hemoglobin A1c levels above 6
b) Normal maternal thyroxine (T4) levels
c) 3% amniotic fluid phosphatidylglycerol
d) Fasting glucose levels below 95 mg/dL
b) Normal maternal thyroxine (T4) levels
--> Normal maternal T4 levels during early pregnancy are important for the normal
,maturation of the fetal brain
Which of the following is a metabolic change associated with pregnancy? Select all that
apply
a) The requirement for maternal insulin is lowered during the first trimester
b) Maternal production of insulin is increased during the first trimester
c) There is sufficient glucose for the fetus during the second trimester
d) Fasting Blood Glucose will be lower during the first trimester
e) During the second trimester, the patient's glucose tolerance improves
b) Insulin production by the mother is increased during the first trimester
c) The fetus receives adequate glucose in the second trimester
d) Fasting blood glucose levels will decrease in the first trimester
Select the following conditions that are common in infants of diabetic mothers. Choose
all that apply.
a) Hypoglycemia
b) Marfan syndrome
c) Cephalohematoma
d) Shoulder dystocia
e) Brachial plexus palsy
a) Hypoglycemia
c) Cephalohematoma
d) Shoulder dystocia
e) Brachial plexus palsy
The following are obstetric or medical complication(s) the pregnancy patient with
diabetes mellitus is at risk. Select all that apply.
a) Hydramnios
,b) Preeclampsia
c) Hypoglycemia
d) Monilial vaginitis
e) Brachial plexus palsy
a) Hydramnios
b) Preeclampsia
c) Hypoglycemia
d) Monilial vaginitis
Which of the following is a symptom associated with SLE? Choose all that apply
a) Fever
b) Hyperactivity
c) Hypotension
d) Muscle aches
e) Weight changes
a) Fever
d) Muscle aches
e) Weight changes
A woman is pregnant at 28 weeks of gestation and has been diagnosed with gestational
diabetes mellitus. Which education is important for this woman to understand?
a) Glucose levels are monitored by testing urine four times a day and at bedtime.
b) Dietary modifications and insulin are both required for adequate treatment.
c) Oral hypoglycemic agents should not be used if the woman is reluctant to give herself
insulin.
d) Nutrient needs are spread out between three meals and two or three snacks.
d) Nutrient needs are spread out between three meals and two or three snacks.
--> decreases risk for hypoglycemia and ketoacidosis
The following medication is administered to a pregnant client to treat hyperthyroidism.
, a) Isotretinoin
b) Methimazole
c) Levothyroxine
d) Sodium iodide-131
b) Methimazole
--> decreases symptoms of hyperthyroidism, such as weight gain, tachycardia
Which of the following medications might be ordered for a pregnant diabetic client who
refuses to take insulin?
a) Isotretinoin
b) Enoxaparin
c) Terbutaline
d) Glyburide
d) Glyburide
--> oral hypoglycemic medication
--> small amounts of the medication cross the placenta to the fetus
Which of the following is a possible complication following the administration of
terbutaline to a pregnant diabetic client?
a) Infection
b) Dyspnea
c) Ketoacidosis
d) Hypoglycemia
c) Ketoacidosis
--> terbutaline can cause hyperglycemia and ketoacidosis in the pregnant client
A pregnant patient with diabetes mellitus and poor glycemic control in the early weeks
of pregnancy is at risk for which condition?
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