Heroin Show The signs and symptoms of heroin use are euphoria, relaxation, relief from pain, detachment from reality, impaired judgment, drowsiness, constricted pupils, nausea, constipation, slurred speech, and respiratory depression. Possible effects on pregnancy include preeclampsia, intrauterine growth restriction, miscarriage, premature rupture of membranes, infections, breech presentation, and preterm labor A pregnant woman at 28 weeks of gestation has been diagnosed with gestational diabetes. The nurse caring for this client understands that: a. Oral hypoglycemic agents can be used if the woman is reluctant to give herself insulin. b. Dietary modifications and insulin are both required for adequate treatment c. Glucose levels are monitored by testing urine four times a day and at bedtime d. Dietary management involves distributing nutrient requirements over three meals and two or three snacks. D. Dietary management involves distributing nutrient requirements over three meals and two or three snacks. In planning for the care of a 30-year-old woman with pregestational diabetes, the nurse recognizes that the most important factor affecting pregnancy outcome is the: A. Mother's age. B. Number of years since diabetes was diagnosed. C. Amount of insulin required prenatally. D. Degree of glycemic control during pregnancy D. Degree of glycemic control during pregnancy Diabetes in pregnancy puts the fetus at risk in several ways. Nurses should be aware that: A. With good control of maternal glucose levels, sudden and unexplained stillbirth is no longer a major concern. B. The most important cause of perinatal loss in diabetic pregnancy is congenital malformations. C. Infants of mothers with diabetes have the same risks for respiratory distress syndrome because of the careful monitoring. D. At birth, the neonate of a diabetic mother is no longer in any greater risk. B. The most important cause of perinatal loss in diabetic pregnancy is congenital malformations. Which of the following findings is not likely to be seen in a pregnant patient who has hypothyroidism? A. Miscarriage B. Macrosomia A pregnant woman at 14 weeks of gestation is admitted to the hospital with a diagnosis of hyperemesis gravidarum. The primary goal of her treatment at this time is to: A. Rest the gastrointestinal (GI) tract by restricting all oral intake for 48 hours. B. Reduce emotional distress by encouraging the woman to discuss her feelings. C. Reverse fluid, electrolyte, and acid-base imbalances. D. Restore the woman's ability to take and retain oral fluid and foods. C. Reverse fluid, electrolyte, and acid-base imbalances. A patient who is pregnant already has Type 2 diabetes with a hemoglobin A1c value of 7. The nurse would categorize this patient as having: A. Gestational diabetes. B. Insulin-dependent diabetes complicated by pregnancy. C. Pregestational diabetes mellitus. D. Non-insulin-dependent diabetes with complications C. Pregestational diabetes mellitus. The priority assessment in evaluating a pregnant woman with severe nausea and vomiting is: A.Fasting blood glucose level. B. Ketonuria A pregnant woman has maternal phenylketonuria (PKU) and is interested in whether or not she will be able to breastfeed her baby. Which reaction by the nurse indicates accurate information? A. The patient can breastfeed the baby as long as she continues to maintain a PKU-restricted diet. B.The patient should alternate breastfeeding with bottle feeding in order to reduce PKU levels provided to the baby. C. The patient should be advised to not breastfeed the infant because her breast milk will contain large amounts of phenylalanine. D. The patient can breastfeed for the first 3 months without any untoward effects on the infant. C. The patient should be advised to not breastfeed the infant because her breast milk will contain large amounts of phenylalanine. A nurse is working with a diabetic patient who recently found out she is pregnant. In coordinating an interdisciplinary team to help manage the patient throughout the pregnancy, the nurse would include: (Select all that apply.) A. Family practice physician B. Dietician
A pregnant patient experiences thyroid storm following delivery of her infant. What interventions would the nurse anticipate to be ordered by the physician? (Select all that apply.) A. Restriction of intravenous fluids to prevent fluid overload B. Administration of oxygen C. Antipyretics D. Synthroid E. PTU B. Administration of Oxygen Diabetes in pregnancy puts the fetus at risk in several ways. What should nurses be aware of? A. With good control of maternal glucose levels, sudden and unexplained stillbirth is no longer a major concern. B. The most important cause of perinatal loss in diabetic pregnancy is congenital malformations. C. Infants of mothers with diabetes have the same risks for respiratory distress syndrome because of the careful monitoring. D. At birth, the neonate of a diabetic mother is no longer at any greater risk. B. The most important cause of perinatal loss in diabetic pregnancy is congenital malformations. The nurse finds that the blood pH of a pregnant client who is diabetic is 6.5. What should the nurse administer to normalize the client's blood pH? A. Dextrose solution B. Normal saline solution C. Sodium citrate solution D. Sodium bicarbonate solution D. Sodium bicarbonate solution A cesarean birth is planned for a diabetic client with fetal macrosomia. Which intervention by the nurse is appropriate when preparing the client for surgery? A. Instruct the client to avoid insulin the night before the surgery. B. Administer a full dose of insulin on the morning of the surgery. C. Ensure the client has nothing by mouth on the morning of the surgery. D. Infuse intravenous 5% dextrose if the client's glucose level is below 100 mg/dl C. Ensure the client has nothing by mouth on the morning of the surgery A client who is pregnant already has type 2 diabetes and a hemoglobin A1c of 7. What does the nurse would categorize this client as having? A. Gestational diabetes B. Insulin-dependent diabetes complicated by pregnancy. C. Pregestational diabetes mellitus D. Non-insulin-dependent diabeteswith complications C. Pregestational diabetes mellitus The nurse is caring for a client in the first trimester of pregnancy who is prescribed propylthiouracil (PTU) for hyperthyroidism. What are the side effects of this medication? A. Facial anomalies B. Hepatic toxicity C. Esophageal atresia D. Developmental dela B. Hepatic toxicity The nurse is assessing a client for gestational diabetes mellitus (GDM) using the oral glucose tolerance test (OGTT). What intervention by the nurse is appropriate while caring for this client? A. Teach the client to eat an unrestricted diet the day before the test. B. Instruct the client to avoid caffeine for 6 hours before the test. C. Draw blood for a fasting blood glucose level just before the test. D. Obtain the plasma glucose level an hour after a 50 g oral glucose load. C. Draw blood for a fasting blood glucose level just before the test. The nurse is caring for a pregnant client with gestational diabetes. What does the nurse teach the client about diet during pregnancy? A. Eat three meals a day with two or three snacks. B. Avoid meals or snacks just before bedtime. C. Use artificial sweeteners instead of sugar. D. Avoid foods that are high in dietary fiber A. Eat three meals a day with two or three snacks. The nurse is caring for a client with insulin-dependent diabetes mellitus in the first trimester of pregnancy. The client feels dizzy and lethargic and her blood glucose level is 50 mg/dl. What should the nurse do first in this situation? A. Ask the dietician to recommend a sugar free diet to the client. B. Assess the client for symptoms of retinopathy and nephropathy. C. Assess the serum progesterone and estrogen levels in the client. D. Provide the client a dose of glucose gel or a few glucose tablets D. Provide the client a dose of glucose gel or a few glucose tablets The nurse is assessing a pregnant client at 16 weeks of gestation. Which diagnostic test should the nurse say is used to identify neural tube defects in the fetus? A. Serum alpha-fetoprotein B. Fetal echocardiography C. Glycosylated hemoglobin D. Nonstress test (NST) A. Serum alpha-fetoprotein Which manifestation does the nurse relate to hypoglycemia in a diabetic client? A. Clammy skin B. Rapid breathing C. Nausea or vomiting D. Increased urination A. Clammy skin A pregnant client with pregestational insulin-dependent diabetes is going for a week's vacation to another state. What should the nurse ask the client to carry with her in order to prevent complications? (Select all that apply) A. Antibiotics B. Insulin vials C. Glucose tablets D. Antihypertensives E. Blood glucose meter B. Insulin Vials What are maternal and neonatal risks associated with gestational diabetes mellitus? A. Maternal premature rupture of membranes and neonatal sepsis. B. Maternal hyperemesis and neonatal low birth weight. C. Maternal preeclampsia and fetal macrosomia. D. Maternal placenta previa and fetal prematurity. C. Maternal Preeclampsia and fetal macrosomia A pregnant woman at 14 weeks of gestation is admitted to the hospital with a diagnosis of hyperemesis gravidarum. What is the primary goal of her treatment at this time? A. Rest the gastrointestinal (GI) tract by restricting all oral intake for 48 hours B. Reduce emotional distress by encouraging the woman to discuss her feelings C. Reverse fluid, electrolyte, and acid-base imbalances D. Restore the woman's ability to take and retain oral fluid and foods C. Reverse fluid, electrolyte, and acid-base imbalances The nurse is teaching a client diagnosed with phenylketonuria (PKU) about foods to be avoided in the daily diet. Which foods can have an adverse effect on the mother and fetus? A.Milk B.Eggs C.Nuts D.Fruits E.Vegetables
A. Milk The insulin dose of a client in the second trimester of pregnancy has been increased. When does the nurse expect the client's prepregnant dose of insulin to be recommended again? A. When the client starts lactating B. When the client delivers the baby C. When the client is in the third trimester D. When the client weans the baby from breastfeeding D. When the client weans the baby from breastfeeding The blood glucose level of a pregnant client is 325 mg/dl. Which test should be performed on the patient to assess the risk of maternal or intrauterine fetal death? A. Ketones in Urine B. Glucose in Urine C. Arterial Blood Gases D. Abdominal Ultrasound A. Ketones in Urine What are the manifestations associated with hypoglycemia? (Select All that Apply) A. Dizziness A. Dizziness The nurse is caring for a pregnant client prescribed levothyroxine for hypothyroidism. The client is also prescribed an iron supplement. What information does the nurse provide the client about taking these medications? A. Take both medications together in the morning. B. Take levothyroxine 1 hour after taking the iron supplement. C. Take the iron supplement 2 hours after taking levothyroxine. D. Take the two medications at different times of the day. D. Take the two medications at different times of the day How does diabetes during pregnancy affect a fetus?Diabetes that is not well controlled causes the baby's blood sugar to be high. The baby is “overfed” and grows extra large. Besides causing discomfort to the woman during the last few months of pregnancy, an extra large baby can lead to problems during delivery for both the mother and the baby.
What are 4 risk factors of diabetes for pregnant moms?Risk factors for gestational diabetes include:. Being overweight or obese.. Not being physically active.. Having prediabetes.. Having had gestational diabetes during a previous pregnancy.. Having polycystic ovary syndrome.. Having an immediate family member with diabetes.. What are fetal complications from maternal diabetes that the nurse must monitor for?Fetal complications include preterm labor and delivery, small or large size for gestational age, shoulder dystocia birth injury, and neonatal hypoglycemia.
Which factor does a nurse know increases the risk of gestational diabetes mellitus quizlet?Although any woman can develop GDM during pregnancy, some of the factors that may increase the risk include the following: Overweight or obesity. Family history of diabetes. Having given birth previously to an infant weighing greater than 9 pounds.
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Diabetes in pregnancy puts the fetus at risk in several ways. nurses should be aware that: quizlet
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