Medical Cond in Preg Part I HTN GDM – Flashcards
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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.
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proteinuria hypereflexia blurring of vision
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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?
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tachycardia
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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?
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observation for bleeding
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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?
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congenital anomalies
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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.
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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.
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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.
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previous history of spontaneous abortion maternal obesity with body mass index more than 35 client of African-American lineage
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As a rule, women can receive chemotherapy in the second and third trimesters without adverse fetal effects.
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true
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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.
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congenital malformations macrosomia (oversized fetus) respiratory disorder
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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.)
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Amoxicillin Ampicillin Cephalosporins
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For which problem would the nurse be alert in a pregnant woman with gestational diabetes?
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hydramnios related to glucose/insulin imbalance
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Which change in insulin is most likely to occur in a woman during pregnancy?
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less effective than normal
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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?
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Assess deep tendon reflexes.
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After reviewing a client's history, which factor would the nurse identify as placing her at risk for gestational hypertension?
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Her mother had gestational hypertension during pregnancy.
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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?
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deep tendons reflexes 2+
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A woman has been diagnosed as having gestational hypertension. Which symptom for this condition is the most typical?
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blood pressure elevation
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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.
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blood pressure of 140/90 mm Hg elevated liver enzymes +1 proteinuria
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A nurse is caring for a pregnant client with gestational diabetes. Which meal should the nurse recommend for this client?
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baked turkey, brown rice, and strawberries
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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?
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She is at increased risk for type II diabetes mellitus after her baby is born.
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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
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900 kcals of carbohydrates, 330 kcals of protein, and 415 kcals of fat each day in three meals and three snacks
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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?
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24 to 28 weeks
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A pregnant client has been diagnosed with gestational diabetes. Which are risk factors for developing gestational diabetes? Select all that apply.
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obesity hypertension previous large for gestational age (LGA) infant
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