Medical Cond in Preg Part I HTN GDM – Flashcards
Unlock all answers in this set
Unlock answersquestion
The nurse is required to assess a client for HELLP syndrome. Which are the signs and symptoms of this condition? Select all that apply.
answer
epigastric pain upper right quadrant pain hyperbilirubinemia
question
Which nursing diagnosis would be most appropriate for a woman diagnosed with gestational hypertension?
answer
Deficient fluid volume related to vasospasm of arteries
question
A nurse is caring for a pregnant client with eclamptic seizure. Which is a characteristic of eclampsia?
answer
Coma occurs after seizure.
question
A nurse is assessing a client diagnosed with mild preeclampsia. The nurse suspects that the client has developed severe preeclampsia based on which finding?
answer
urine output of less than 400 mL/24 hours
question
A nurse is explaining to a group of nursing students that eclampsia or seizures in pregnant women are preceded by an acute increase in maternal blood pressure. What are features of an acute increase in blood pressure? Select all that apply.
answer
proteinuria hypereflexia blurring of vision
question
A woman hospitalized with severe preeclampsia is being treated with hydralazine to control blood pressure. Which finding would the lead the nurse to suspect that the client is having an adverse effect associated with this drug?
answer
tachycardia
question
A pregnant client with severe preeclampsia has developed HELLP syndrome. In addition to the observations necessary for preeclampsia, what other nursing intervention is critical for this client?
answer
observation for bleeding
question
A pregnant client with multiple gestation arrives at the maternity clinic for a regular antenatal check up. The nurse would be aware that client is at risk for which perinatal complication?
answer
congenital anomalies
question
A nurse is caring for a pregnant client with sickle cell anemia. What should the nursing care for the client include? Select all that apply.
answer
Teach the client meticulous handwashing. Assess hydration status of the client at each visit. Urge the client to drink 8 to 10 glasses of fluid daily.
question
During a routine prenatal check up, the nurse interviews a pregnant client to identify possible risk factors for developing gestational diabetes. Which factors would alert the nurse to an increased risk? Select all that apply.
answer
previous history of spontaneous abortion maternal obesity with body mass index more than 35 client of African-American lineage
question
As a rule, women can receive chemotherapy in the second and third trimesters without adverse fetal effects.
answer
true
question
A pregnant woman at 4 weeks' gestation who has preexisting diabetes mellitus visits her primary care provider for a check up. Which fetal complications might occur because of this maternal condition? Select all that apply.
answer
congenital malformations macrosomia (oversized fetus) respiratory disorder
question
A woman in week 40 of her pregnancy has developed a urinary tract infection (UTI). The nurse recognizes that which of the following treatments would be safe and appropriate to use with this client? (Select all that apply.)
answer
Amoxicillin Ampicillin Cephalosporins
question
For which problem would the nurse be alert in a pregnant woman with gestational diabetes?
answer
hydramnios related to glucose/insulin imbalance
question
Which change in insulin is most likely to occur in a woman during pregnancy?
answer
less effective than normal
question
A client with preeclampsia is receiving magnesium sulfate to suppress or control seizures. Which nursing intervention should a nurse perform to determine the effectiveness of therapy?
answer
Assess deep tendon reflexes.
question
After reviewing a client's history, which factor would the nurse identify as placing her at risk for gestational hypertension?
answer
Her mother had gestational hypertension during pregnancy.
question
A client is diagnosed with gestational hypertension and is receiving magnesium sulfate. Which finding would the nurse interpret as indicating a therapeutic level of medication?
answer
deep tendons reflexes 2+
question
A woman has been diagnosed as having gestational hypertension. Which symptom for this condition is the most typical?
answer
blood pressure elevation
question
The clinic nurse routinely assesses all pregnant clients for signs of hypertension. Which symptoms experienced by the client would the nurse document as diagnostic signs of preeclampsia? Select all that apply.
answer
blood pressure of 140/90 mm Hg elevated liver enzymes +1 proteinuria
question
A nurse is caring for a pregnant client with gestational diabetes. Which meal should the nurse recommend for this client?
answer
baked turkey, brown rice, and strawberries
question
A nurse is client teaching with a 28 weeks' gestation woman who has tested positive for gestational diabetes mellitus (GDM). What would be important for the nurse to include in the client teaching?
answer
She is at increased risk for type II diabetes mellitus after her baby is born.
question
In working with a pregnant woman who now weighs 55 kg and has developed gestational diabetes mellitus, how much should the nurse recommend that the patient eat? Approximately
answer
900 kcals of carbohydrates, 330 kcals of protein, and 415 kcals of fat each day in three meals and three snacks
question
A pregnant woman is determined to be at high risk for gestational diabetes. At which time would the nurse expect the client to undergo rescreening?
answer
24 to 28 weeks
question
A pregnant client has been diagnosed with gestational diabetes. Which are risk factors for developing gestational diabetes? Select all that apply.
answer
obesity hypertension previous large for gestational age (LGA) infant
