A nurse is reinforcing teaching of a newly licensed nurse about hypothyroidism during pregnancy.
Which of the following statements should the nurse reinforce in the teaching?
Clients who have this disorder may have an increased risk of lipid and glucose metabolism disorders.
The client's human chorionic gonadotropin (hCG) levels will plateau in the first trimester of pregnancy.
Thyroid replacement dosing will likely remain consistent throughout the pregnancy.
Antenatal fetal surveillance will be required during the first trimester of pregnancy.
The Correct Answer is A
Choice A rationale
Hypothyroidism during pregnancy is associated with increased risks of metabolic disorders, including lipid and glucose metabolism disorders, which can affect both the mother and fetus.
Choice B rationale
hCG levels do not typically plateau in the first trimester; they continue to rise and peak around the 10th week of pregnancy before starting to decline.
Choice C rationale
Thyroid replacement dosing usually needs adjustment during pregnancy to meet the increased thyroid hormone requirements due to physiological changes and fetal development needs.
Choice D rationale
Antenatal fetal surveillance is generally required in the third trimester for hypothyroid pregnant clients to monitor fetal well-being, not during the first trimester.
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Correct Answer is D
Explanation
Choice A rationale
If both the client and the newborn are Rh positive, there is no risk of Rh incompatibility, and Rho(D) immune globulin is not needed.
Choice B rationale
If the client is Rh positive and the newborn is Rh negative, there is no risk of Rh incompatibility, and Rho(D) immune globulin is not needed.
Choice C rationale
If both the client and the newborn are Rh negative, there is no risk of Rh incompatibility, and Rho(D) immune globulin is not needed.
Choice D rationale
If the client is Rh negative and the newborn is Rh positive, there is a risk of Rh incompatibility, and Rho(D) immune globulin is needed to prevent the development of Rh sensitization in future pregnancies. .
Correct Answer is C
Explanation
Choice A rationale
Decreased arterial resistance is not associated with eclampsia. Eclampsia is characterized by increased arterial resistance due to hypertension and vascular changes during pregnancy.
Choice B rationale
Unexpected placental implantation is not a feature of eclampsia. Eclampsia is related to the development of seizures in the context of preeclampsia, which involves high blood pressure and organ damage.
Choice C rationale
Increased uterine spiral artery remodeling is associated with the pathophysiology of eclampsia. Poor remodeling leads to inadequate blood flow to the placenta, contributing to the development of hypertension and related complications.
Choice D rationale
Vasodilation is not typically associated with eclampsia. Instead, vasoconstriction and endothelial dysfunction are more common, leading to high blood pressure and potential organ damage.
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