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 A
Explanation
Choice A rationale
Checking the fetal heart rate pattern is the priority after an amniotomy. This procedure involves breaking the amniotic sac, which can lead to changes in the fetal heart rate. Immediate assessment ensures the fetus is not in distress.
Choice B rationale
Evaluating for signs of infection is essential post-procedure, but not the immediate priority. Infection signs develop over time, while fetal distress can occur immediately.
Choice C rationale
Observing the color and consistency of amniotic fluid is important for identifying meconium-stained fluid, but it is not as immediately crucial as ensuring fetal well-being.
Choice D rationale
Taking the client's temperature can help monitor for infection later, but it is not the immediate concern following amniotomy. The primary concern is the fetal response.
Correct Answer is A
Explanation
Choice A rationale
Abruptio placentae involves the premature separation of the placenta from the uterine wall, causing continuous abdominal pain and vaginal bleeding. This condition is a medical emergency that can compromise fetal and maternal health.
Choice B rationale
Premature rupture of membranes is characterized by the leaking or gushing of amniotic fluid, not continuous abdominal pain and vaginal bleeding. It usually doesn't present with severe pain unless there are complications like infection.
Choice C rationale
Placenta previa is where the placenta covers the cervical opening, causing painless vaginal bleeding. It typically does not involve continuous abdominal pain, distinguishing it from abruptio placentae.
Choice D rationale
Prolapsed cord occurs when the umbilical cord slips ahead of the baby during delivery, which is a different obstetric emergency. It does not present with continuous abdominal pain and vaginal bleeding.
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