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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
One parity indicates one delivery at a viable gestational age, which is not accurate for this client.
Choice B rationale
Two parity is correct as the client has delivered twins (considered one parity) at 36 weeks, which counts as one delivery at a viable gestational age.
Choice C rationale
Three parity is incorrect because the previous pregnancies did not result in three separate viable deliveries.
Choice D rationale
Four parity is incorrect as the client’s history includes one viable delivery (twins) and does not account for four separate viable births. .
Correct Answer is D
Explanation
Choice A rationale
An occult cord prolapse occurs when the umbilical cord is hidden but not necessarily within the vagina. It is often compressed alongside the fetus, causing a risk for decreased oxygenation.
Choice B rationale
An occult prolapsed cord is not characterized by being wrapped around the fetal neck; that condition is known as a nuchal cord.
Choice C rationale
A compound prolapsed cord does not involve the cord being felt through the cervix inside an intact amniotic sac. Instead, it involves the cord alongside the fetal presenting part.
Choice D rationale
An overt prolapsed cord occurs when the umbilical cord comes through the cervix ahead of the presenting part, posing significant risk due to potential cord compression and interruption of blood flow to the fetus.
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