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
G6PD deficiency is an inherited condition affecting red blood cells but does not increase the risk of postpartum hemorrhage.
Choice B rationale
Von Willebrand disease is a bleeding disorder that can lead to excessive bleeding, increasing the risk of postpartum hemorrhage due to impaired blood clotting.
Choice C rationale
History of hyperemesis gravidarum is associated with severe nausea and vomiting in pregnancy but does not increase the risk of postpartum hemorrhage.
Choice D rationale
Peripheral artery disease affects blood flow to the limbs and does not directly increase the risk of postpartum hemorrhage.
Correct Answer is B
Explanation
Choice A rationale
Platelet aggregation is associated with the formation of blood clots, which may contribute to complications like stroke but is not the primary cause of the client's symptoms of blurred vision and cognitive impairment in preeclampsia.
Choice B rationale
Autoregulation dysfunction of the cerebral vasculature causes increased cerebral blood flow and edema, leading to neurological symptoms such as blurred vision and impaired cognitive function. This dysfunction is a primary factor in the pathophysiology of preeclampsia with severe features.
Choice C rationale
Oxidative stress and inflammatory response contribute to endothelial dysfunction in preeclampsia but are not directly responsible for the neurological symptoms described. These factors play a broader role in the progression of the disease.
Choice D rationale
Uteroplacental ischemia affects the placenta and fetal environment, contributing to fetal growth restriction and distress but does not directly cause neurological symptoms like blurred vision in the mother.
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