Diabetes in pregnancy puts the fetus at risk in several ways.
Nurses should be aware that:.
With good control of maternal glucose levels, sudden and unexplained stillbirth is no longer a major concern.
The most important cause of perinatal loss in diabetic pregnancy is congenital malformations.
Infants of mothers with diabetes have the same risks for respiratory distress syndrome because of careful monitoring.
At birth, the neonate of a diabetic mother is no longer at any greater risk.
The Correct Answer is B
Choice A rationale:
With good control of maternal glucose levels, sudden and unexplained stillbirth is no longer a major concern. While controlling maternal glucose levels is important in diabetic pregnancies, it does not eliminate all risks, including the risk of stillbirth. However, the most significant cause of perinatal loss in diabetic pregnancies is congenital malformations. Poorly controlled diabetes during pregnancy can lead to structural abnormalities in the fetus, increasing the risk of perinatal loss.
Choice B rationale:
The most important cause of perinatal loss in diabetic pregnancy is congenital malformations. This is the correct answer. Poorly controlled diabetes increases the risk of congenital malformations in the fetus, making it a significant concern in diabetic pregnancies. Proper management of diabetes and prenatal care are essential to reduce this risk.
Choice C rationale:
Infants of mothers with diabetes have the same risks for respiratory distress syndrome because of careful monitoring. Infants of mothers with diabetes are at an increased risk of respiratory distress syndrome due to delayed lung maturation. Careful monitoring is essential, but it does not eliminate this risk. Proper management and timely interventions are necessary to minimize the impact of respiratory distress syndrome in these infants.
Choice D rationale:
At birth, the neonate of a diabetic mother is no longer at any greater risk. Infants of diabetic mothers are at increased risk for various complications, both during and after birth. These risks include hypoglycemia, respiratory distress syndrome, and hypocalcemia, among others. Close monitoring and appropriate interventions are required to ensure the well-being of the newborn.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
An Apgar score of 10 at 1 minute after birth indicates that the infant is in excellent condition, adjusting well to extrauterine life, and requires no further testing or interventions at that moment. The Apgar score assesses the baby's heart rate, respiratory effort, muscle tone, reflexes, and color, with a maximum score of 10. An Apgar score of 10 suggests that the baby is pink, has a heart rate above 100 beats per minute, exhibits strong cries, has active motion, and demonstrates good muscle tone.
Choice B rationale:
An Apgar score of 10 does not indicate severe distress requiring resuscitation. A low Apgar score (typically below 7) at 1 minute may prompt further evaluation and interventions to support the baby's transition to extrauterine life.
Choice C rationale:
While a high Apgar score is reassuring, it does not predict a future free of neurologic problems. The Apgar score assesses the baby's current condition and provides a snapshot of their overall well-being at birth.
Choice D rationale:
Although the Apgar score is assessed at 1 and 5 minutes after birth, a score of 10 at 1 minute suggests that the baby is doing well at that moment. However, the baby should still be assessed again at 5 minutes to ensure continued stability and appropriate interventions if necessary.
Correct Answer is ["A","B","C"]
Explanation
Choice A rationale:
Dried beans are excellent sources of plant-based protein and are suitable for a vegetarian diet. They are also rich in fiber, vitamins, and minerals.
Choice B rationale:
Seeds, such as chia seeds, flaxseeds, and pumpkin seeds, are good sources of protein, healthy fats, and various nutrients. They are suitable for vegetarians and can be incorporated into meals, salads, or smoothies.
Choice C rationale:
Peanut butter, made from ground peanuts, is a protein-rich food suitable for vegetarians. It can be spread on bread, added to smoothies, or used in various recipes.
Choice D rationale:
Bagels are not typically high in protein. They are primarily carbohydrate-based and do not serve as a significant source of protein for individuals following a vegetarian diet.
Choice E rationale:
Eggs are a good source of high-quality protein; however, they are not suitable for a strict vegetarian diet. Some vegetarians, known as ovo-vegetarians, include eggs in their diet, but strict vegetarians, known as vegans, avoid all animal products, including eggs.
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