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. This is not the correct choice because the woman has signs of magnesium toxicity, such as low urine output, high blood pressure, and increased DTR. Continuing the infusion could worsen her condition and put her and the fetus at risk.

b. This is the correct choice because the woman needs to be treated for magnesium toxicity, which is a serious complication of preeclampsia. Stopping the infusion will prevent further accumulation of magnesium in her body and allow her to excrete the excess.
c. This is not the correct choice because it will delay the treatment of magnesium toxicity, which is a medical emergency. The woman's vital signs and symptoms are enough to indicate that she has a high level of magnesium and needs immediate intervention.
d. This is not the correct choice because it will not address the underlying cause of magnesium toxicity, which is the infusion. Oxygen may help with some symptoms, such as respiratory depression, but it will not reverse the effects of magnesium on the nervous system and blood vessels.

A. 20 B. 18 C. 28 D. 24

Correct Answer is D

Explanation

a. The expected total weight gain during pregnancy for a woman with a preconception BMI of 19 is 28-40 lbs.
b. The expected total weight gain during pregnancy for a woman with a preconception BMI of 19 is 28-40 lbs.
c. The expected total weight gain during pregnancy for a woman with a preconception BMI of 19 is 28-40 lbs.
d. The expected total weight gain during pregnancy for a woman with a preconception BMI of 19 is 28-40 lbs.

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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:

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A 22-year-old woman pregnant with a single fetus has a preconception body mass index (BMI) of 19. When she was seen in the clinic at 33 weeks of gestation, she had gained 4 lbs in the first trimester. What should be the expected weight gain at this pregnancy time?

Correct Answer is D

Explanation

A woman in preterm labor at 32 weeks of gestation receives Dexamethasone intramularly. The purpose of this pharmacologic treatment is to: Select one:

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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: