Metabolic changes throughout pregnancy that affect glucose and insulin in the mother and the fetus are complicated but its important to understand. Nurses should understand that:

Select one:

Second and third trimesters insulin needs increase because the placenta is fully developed.

Women with insulin-dependent diabetes are prone to hyperglycemia at all times during the first trimester because they are consuming more simple sugar.

Maternal insulin requirements are never modified during pregnancies.

Insulin crosses the placenta to the fetus only in the first trimester, after which the fetus secretes its own.

Answer and Explanation

The Correct Answer is A

a.   As the placenta grows and becomes more metabolically active, it produces hormones that increase insulin resistance, leading to an increased need for insulin.
b.   Women with insulin-dependent diabetes may be prone to hyperglycemia during pregnancy, but it is not due to consuming more simple sugar.
c.   Maternal insulin requirements often increase during pregnancy due to increased insulin resistance.

d.   Insulin crosses the placenta throughout pregnancy, and the fetus does not secrete its own insulin until after birth.

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Correct Answer is B

Explanation

a. The second stage of labor begins when the cervix is fully dilated and ends with the birth of the baby. The latent phase is the early part of the second stage when the woman may be resting between contractions.
b. The first stage, transition phase is from 8 to 10 cm dilation, with strong and frequent contractions.
c. The first stage, latent phase is the early part of the first stage of labor when the cervix is dilated from 0 to 4 cm and contractions are mild and irregular.
d. The first stage, active phase is from 4 to 7 cm dilation, with moderate and regular contractions.

A. Accelerations with fetal movement B. Early decelerations C. Late decelerations D. An average FHR of 126 beats/min E. An average FHR of 126 beats/min

Correct Answer is C

Explanation

a. This is a normal FHR pattern and is not a cause for concern.

b. These are generally benign and are not a cause for concern.

c. Late decelerations can indicate uteroplacental insufficiency and are a cause for concern.
d. This is a normal FHR and is not a cause for concern.

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Metabolic changes throughout pregnancy that affect glucose and insulin in the mother and the fetus are complicated but its important to understand. Nurses should understand that: Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Through vaginal examination, the nurse determines that the woman is 8 cm dilated, and the external fetal monitor shows uterine contractions every 3 minutes and a duration of 50 seconds. The nurse would report these findings as:

Correct Answer is B

Explanation

Which fetal heart rate (FHR) finding would concern the nurse during labor? Select one:

Correct Answer is C

Explanation

A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?

A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse perform first?

A woman is at 9 weeks of gestation. The nurse would expect to palpate the fundus at which level? Select one:

When assessing the fetus using Leopold maneuvers, the nurse feels a round, firm, movable fetal part in the pelvis inlet and a long, smooth, and soft surface in the mother's left side close to the midline. What is the likely position of the fetus? Select one:

A 37 weeks pregnant female reports to the nurse that she is sleeping in a supine position and feels dizzy after waking up in the morning. What advice does the nurse give to the patient? Select one:

The nurse caring for the laboring woman should understand that early decelerations are caused by:

A nurse is reviewing the health history of a client who has a new prescription for a combined oral contraceptive (COC). The nurse recognizes that which of the following client medications can interfere with the effectiveness of the COC?

Metabolic changes throughout pregnancy that affect glucose and insulin in the mother and the fetus are complicated but its important to understand. Nurses should understand that:

Select one: