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 A

Explanation

Choice A rationale:
Assessing the parents' anxiety level and readiness to learn is the first action when planning to teach the parents of an infant with a congenital heart defect (CHD). Understanding the parents' emotional state and readiness to receive information is crucial in tailoring the teaching approach effectively.
Choice B rationale:
Gathering literature for the parents is a valuable resource, but it should come after assessing the parents' needs and readiness to learn. Providing information without considering the parents' emotional state and readiness may not be as effective.
Choice C rationale:
Securing a quiet place for teaching is important for minimizing distractions, but it is not the first action. Assessing the parents' readiness to learn comes before setting up the teaching environment.
Choice D rationale:
Discussing the plan with the nursing team is important for coordination, but it is not the first action. Assessing the parents' emotional state and readiness to learn guides the development of an effective teaching plan.

A. I will only see results if I perform 100 Kegel exercises each day. B. I should hold the Kegel exercise contraction for 10 seconds and rest for 10 seconds between exercises. C. I should only perform Kegel exercises in the sitting position. D. I will perform daily Kegel exercises during the last trimester of my pregnancy to achieve the best results.

Correct Answer is B

Explanation

Choice A rationale:

Performing 100 Kegel exercises each day is not necessary and might lead to muscle fatigue. The number of exercises can vary from person to person. Quality is more important than quantity when performing Kegel exercises.

Choice B rationale:

This statement indicates a correct understanding of Kegel exercises. Holding the contraction for 10 seconds and then resting for 10 seconds between exercises is a common and effective technique. Kegel exercises help strengthen the pelvic floor muscles, which can be beneficial during pregnancy and after childbirth.

Choice C rationale:

There is no requirement to perform Kegel exercises only in the sitting position. These exercises can be done in various positions, such as sitting, standing, or lying down, depending on the individual's comfort.

Choice D rationale:

Performing Kegel exercises throughout pregnancy, starting early and continuing postpartum, can provide optimal benefits. There's no need to wait until the last trimester to start these exercises. Regular practice can help improve pelvic muscle tone and prevent issues such as urinary incontinence.

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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

What is the nurse's first action when planning to teach the parents of an infant with a congenital heart defect (CHD)?

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?

Correct Answer is B

Explanation

The nurse administers vitamin K to the newborn for which reason?

The nurse must check vital signs on a 2-year-old boy who is brought to the clinic for his 24-month checkup.Which criteria should the nurse use in determining the appropriate-size blood pressure cuff? (Select all that apply.).

The diagnosis of pregnancy is based on which positive signs of pregnancy? (Select all that apply.).

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 woman is 14 weeks pregnant with her first baby.She asks how long it will be before she feels the baby move.The best answer is:.

Pancreatic enzymes are administered to the child with cystic fibrosis.What information should be included in patient education concerning the administration of these enzymes?

A new mom delivered her baby 2 months ago. The baby's father calls into the office to report that his wife is angry. She is confused and having conversations with herself. What is the appropriate response that the nurse should make?

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