A pregnant woman is diagnosed with chlamydia and asks the nurse, "How will this infection affect my baby and pregnancy?" Which responses by the nurse are accurate? (Select All that Apply.)

"Your membranes may rupture earlier than normal."

"It will not have any effect on your pregnancy."

"Your newborn can be infected during birth."

"Your newborn may have eye infections from this infection."

"Your newborn is protected from this infection."

Answer and Explanation

Correct Answer : C,D

A. "Your membranes may rupture earlier than normal." - This statement is not directly associated with chlamydia infection during pregnancy. Premature rupture of membranes (PROM) can occur due to various factors, but chlamydia infection is not a direct cause.

B. "It will not have any effect on your pregnancy." - This statement is incorrect. Chlamydia infection during pregnancy can have implications for both the mother and the baby, so it is not accurate to say it will not have any effect.

C. "Your newborn can be infected during birth." - This is an accurate statement. Chlamydia can be transmitted from the mother to the newborn during vaginal childbirth, leading to neonatal chlamydial infection.

D. "Your newborn may have eye infections from this infection." - This is also correct. Neonatal chlamydial infection can cause conjunctivitis (eye infection) in newborns if they are exposed to the bacteria during delivery.

E. "Your newborn is protected from this infection." - This statement is incorrect. Newborns are not inherently protected from chlamydial infection if the mother is infected. Without appropriate treatment and preventive measures, the newborn can contract the infection during birth.

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Correct Answer is D

Explanation

A. Stability of the woman's emotional and psychological status:

Emotional and psychological well-being are undoubtedly important factors in pregnancy outcomes. However, in the context of gestational diabetes, while stress and psychological factors can influence overall health, including blood sugar levels, they are not the primary focus when discussing reducing complications associated with diabetes during pregnancy. While managing stress and promoting emotional stability are important aspects of prenatal care, they are not directly related to reducing complications specifically associated with gestational diabetes.

B. Reduction in retinopathy risk by frequent ophthalmologic evaluations:

Diabetic retinopathy is a complication of diabetes that affects the eyes and can lead to vision impairment or blindness if left untreated. While regular ophthalmologic evaluations are crucial for individuals with diabetes to monitor for retinopathy and other eye complications, this factor is not the most important in reducing complications associated with pregnancy and diabetes. Gestational diabetes primarily affects pregnancy outcomes, and while retinopathy risk is a concern in the long term for individuals with diabetes, it is not the primary focus during pregnancy.

C. Control of blood urea nitrogen (BUN) levels for optimal kidney function:

Blood urea nitrogen (BUN) levels are markers of kidney function, and kidney complications can be a concern in individuals with diabetes, including gestational diabetes. However, during pregnancy, the focus is primarily on controlling blood glucose levels to reduce complications associated with gestational diabetes. While kidney function is important and should be monitored in pregnant women with gestational diabetes, it is not the most crucial factor in reducing complications specifically related to pregnancy and diabetes.

D. Degree of blood glucose control achieved during the pregnancy:

This is the most important factor in reducing complications associated with pregnancy and gestational diabetes. Controlling blood glucose levels is paramount in managing gestational diabetes to reduce the risk of complications for both the mother and the baby. Tight glycemic control helps to minimize the risk of adverse outcomes such as macrosomia, birth trauma, preterm birth, and other complications associated with uncontrolled blood sugar levels during pregnancy.

A. fatigue B. hair loss C. vomiting D. myelosuppression

Correct Answer is D

Explanation

A. Fatigue - Fatigue is a common side effect of chemotherapy and can significantly impact a patient's quality of life. While it can be debilitating and affect daily activities, it is not typically considered as serious as myelosuppression. Fatigue usually improves over time after completion of chemotherapy treatment.

B. Hair loss - Hair loss, or alopecia, is another common side effect of chemotherapy. It can be distressing for many patients, but it is generally not considered medically serious. Hair typically grows back after the completion of chemotherapy treatment.

C. Vomiting - Nausea and vomiting are common side effects of chemotherapy, known as chemotherapy-induced nausea and vomiting (CINV). While they can cause discomfort and affect a patient's well-being, they are usually manageable with antiemetic medications. In severe cases, dehydration and electrolyte imbalances may occur, but they are generally reversible and not as serious as myelosuppression.

D. Myelosuppression - Myelosuppression, also known as bone marrow suppression, is a serious side effect of chemotherapy. It can lead to a decrease in the production of blood cells (white blood cells, red blood cells, and platelets) by the bone marrow. This can increase the risk of infections, anemia, and bleeding, which can be life-threatening if not managed promptly. Myelosuppression requires close monitoring and may necessitate treatment adjustments or supportive care measures to prevent complications.

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A pregnant woman is diagnosed with chlamydia and asks the nurse, "How will this infection affect my baby and pregnancy?" Which responses by the nurse are accurate? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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