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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale:
Self-monitoring of blood glucose is not recommended primarily because it is a less expensive method of testing. The main reasons for self-monitoring include empowering the child to manage their diabetes, allowing for more frequent monitoring without hospital visits, and facilitating prompt adjustments in insulin or dietary intake.
Choice B rationale:
Self-monitoring of blood glucose can be quite accurate if done correctly. Accuracy depends on proper technique, calibration of the glucometer, and regular maintenance. It is comparable to laboratory testing when performed accurately.
Choice C rationale:
Children with diabetes need to learn to manage their condition as they grow older. Teaching them self-monitoring skills empowers them to take control of their health and make informed decisions about insulin dosages, dietary choices, and physical activity levels.
Choice D rationale:
While parental involvement is essential, self-monitoring of blood glucose is primarily about empowering the child to manage their diabetes. Parents play a supportive role in educating and supervising, but the child's active involvement is crucial for long-term management.

A. a normal finding. B. an abnormal finding; the child needs referral to an ophthalmologist. C. a sign of a possible visual defect; the child needs vision screening. D. a sign of small hemorrhages, which usually resolve spontaneously.

Correct Answer is A

Explanation

Choice A rationale:
A brilliant, uniform red reflex observed during a funduscopic examination is a normal finding. It indicates the absence of any abnormalities in the retina or lens. A normal red reflex is essential in ruling out serious conditions such as retinoblastoma, cataracts, or other eye abnormalities.
Choice B rationale:
An abnormal red reflex, especially if it is not uniform and brilliant, could indicate underlying eye conditions and would require referral to an ophthalmologist for further evaluation. However, in this scenario, the description provided indicates a normal finding, making this choice incorrect.
Choice C rationale:
A uniform red reflex does not suggest a possible visual defect that requires vision screening. A normal red reflex indicates the absence of significant visual abnormalities, making this choice incorrect.
Choice D rationale:
Small hemorrhages in the eye would not present as a brilliant, uniform red reflex. Hemorrhages typically appear as dark spots or patches and would be an abnormal finding requiring further evaluation. This choice is incorrect in the context of the described scenario.

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Diabetes in pregnancy puts the fetus at risk in several ways.Nurses should be aware that:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A parent asks the nurse why self-monitoring of blood glucose is being recommended for her child with diabetes. The nurse should base the explanation on what information?

Correct Answer is C

Explanation

During a funduscopic examination of a school-age child, the nurse notes a brilliant, uniform red reflex in both eyes. The nurse should recognize that this is:

Correct Answer is A

Explanation

The nurse-midwife is teaching a group of women who are pregnant, including instruction on Kegel exercises.Which statement by a participant would indicate a correct understanding of the instruction?

What should a nurse advise the parents of a child with type 1 diabetes mellitus who is not eating as a result of a minor illness?

The nurse is developing a dietary teaching plan for a patient on a vegetarian diet.The nurse should provide the patient with which examples of protein-containing foods? (Select all that apply.).

A newborn is jaundiced and receiving phototherapy via ultraviolet bank lights.An appropriate nursing intervention when caring for an infant with hyperbilirubinemia and receiving phototherapy by this method would be to:.

Magnesium sulfate is given to women with preeclampsia and eclampsia to.

Magnesium Sulfate is being administered intravenously to a client for pregnancy-induced hypertension.Which assessment finding should the nurse identify as a complication of this treatment?

A pregnant woman experiencing nausea and vomiting should:.

The nurse is calculating the estimated date of confinement (EDC) using Nagele's rule for a client whose last menstrual period started on December 1. Which date is most accurate?

Diabetes in pregnancy puts the fetus at risk in several ways.
Nurses should be aware that:.