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 ["B","D","E"]
Explanation
Choice A rationale:
Weight loss is not a typical symptom associated with juvenile hypothyroidism. Hypothyroidism often leads to weight gain due to a slowed metabolism. Weight loss is more commonly associated with hyperthyroidism, where the thyroid gland is overactive.
Choice B rationale:
Sleepiness or fatigue is a common symptom of hypothyroidism. The thyroid hormone plays a vital role in regulating metabolism and energy levels. In hypothyroidism, the lack of thyroid hormone can lead to fatigue and excessive sleepiness.
Choice C rationale:
Diarrhea is not a typical symptom of hypothyroidism. Hypothyroidism is more commonly associated with constipation due to the slowing down of the digestive system.
Choice D rationale:
Puffiness around the eyes, also known as periorbital edema, is a symptom of hypothyroidism. Thyroid hormones help regulate fluid balance in the body. In hypothyroidism, the decreased levels of thyroid hormones can lead to fluid retention, causing puffiness, especially around the eyes.
Choice E rationale:
Limited hair growth, or thinning of hair, is a common symptom of hypothyroidism. Thyroid hormones are essential for hair growth and maintenance. In hypothyroidism, hair follicles can become thin, leading to hair loss and limited growth.
Correct Answer is A
Explanation
Choice A rationale: A respiratory rate of 10 bpm indicates respiratory depression, a sign of magnesium toxicity. Magnesium sulfate is a central nervous system depressant, and rates below 12 bpm require immediate intervention and possible administration of calcium gluconate.
Choice B rationale: A blood pressure of 148/94 is a manifestation of the underlying pregnancy-induced hypertension rather than a complication of the medication. Magnesium sulfate is primarily used for seizure prophylaxis rather than as a primary antihypertensive agent.
Choice C rationale: Deep tendon reflexes of +2 are considered normal and active. A complication of magnesium sulfate therapy would be the loss or diminution of these reflexes (0 or +1), which typically precedes more severe respiratory depression.
Choice D rationale: A urine output of 70 ml/hour is within the normal range and indicates adequate renal perfusion. Monitoring output is crucial because magnesium is excreted by the kidneys, but 70 ml/hour does not indicate a complication.
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