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 C
Explanation
Choice A rationale:
Ribbon-like stools are more characteristic of conditions like irritable bowel syndrome (IBS) or colorectal cancer, not intussusception. Intussusception is a medical emergency where one segment of the intestine telescopes into another, leading to obstruction and potentially compromised blood flow.
Choice B rationale:
Hard stools positive for guaiac are suggestive of constipation and are not specific to intussusception. In intussusception, the stool characteristics are usually not relevant to the diagnosis as the condition primarily involves intestinal obstruction.
Choice C rationale:
"Currant jelly" stools are a classic characteristic of intussusception. These stools contain mucus and blood and have a characteristic appearance due to the compromised blood flow and tissue damage in the intestines. Recognizing this stool description is crucial for identifying a potential case of intussusception.
Choice D rationale:
Loose, foul-smelling stools are not specific to intussusception. These symptoms could be indicative of various gastrointestinal issues but are not directly associated with the classic presentation of intussusception, which involves the passage of bloody mucus in the stool.
Correct Answer is ["A","B","E"]
Explanation
Choice A rationale:
Cigarette smoke contains harmful chemicals that can cause birth defects and other complications during pregnancy. Pregnant women should avoid exposure to cigarette smoke to protect the developing fetus.
Choice B rationale:
Isotretinoin (Retin A) is a medication used to treat severe acne. It is known to cause severe birth defects and should be avoided during pregnancy. Women of childbearing age who are prescribed isotretinoin must use effective contraception to prevent pregnancy while taking the medication.
Choice C rationale:
Vitamin C, also known as ascorbic acid, is a water-soluble vitamin that is essential for various bodily functions. It is not a teratogen and is safe for consumption during pregnancy in recommended amounts. In fact, pregnant women are encouraged to consume an adequate amount of vitamin C to support their overall health and the development of the baby.
Choice D rationale:
Salicylic acid is commonly found in skincare products and is used to treat acne. While oral use of high doses of salicylic acid during pregnancy can be harmful, the small amounts used in topical skincare products are generally considered safe. However, it's advisable for pregnant women to use salicylic acid-containing products in moderation.
Choice E rationale:
Rubella, also known as German measles, is a contagious viral infection that can cause birth defects if a pregnant woman becomes infected, especially during the early stages of pregnancy. Rubella vaccination before pregnancy is recommended to prevent congenital rubella syndrome.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.