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. Rubella. B. Measles (rubeola). C. Chickenpox (varicella). D. Exanthema subitum (roseola).

Correct Answer is B

Explanation

Choice A rationale:
Koplik's spots are small white or bluish-white spots with a red halo that appear inside the mouth on the buccal mucosa. They are a characteristic sign of measles (rubeola). Measles is a highly contagious viral infection characterized by fever, cough, runny nose, and a distinctive red rash. The presence of Koplik's spots is a specific diagnostic feature of measles, making choice A incorrect for this scenario.
Choice B rationale:
Koplik's spots are a classic sign of measles (rubeola). These spots typically appear a few days before the onset of the measles rash and are highly indicative of the disease. Measles is a highly contagious viral infection that spreads through respiratory droplets. It is essential to recognize Koplik's spots as they provide an early clue to the diagnosis of measles, enabling healthcare providers to take appropriate precautions and prevent the further spread of the disease.
Choice C rationale:
Chickenpox (varicella) presents with an itchy rash that progresses to fluid-filled blisters. However, Koplik's spots are not associated with chickenpox. Chickenpox is caused by the varicella-zoster virus and is characterized by a widespread rash, fever, and general discomfort. Koplik's spots are specific to measles and do not occur in chickenpox.
Choice D rationale:
Exanthema subitum, also known as roseola, is a viral illness that primarily affects infants and young children. It is characterized by high fever followed by a rash. However, Koplik's spots are not a feature of roseola. The rash in roseola appears after the fever subsides and is typically pink or red, differentiating it from the small white spots seen in measles.

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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 is performing an assessment on a child and notes the presence of Koplik's spots. In which communicable disease are Koplik's spots present?

Correct Answer is B

Explanation

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.).

What is an important nursing responsibility when dealing with a family experiencing the loss of an infant from sudden infant death syndrome (SIDS)?

A child has a chronic, nonproductive cough and diffuse wheezing during the expiratory phase of respiration.This suggests which respiratory condition?

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?

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

Because a full bladder prevents the uterus from contracting normally, nurses intervene to help the woman empty her bladder spontaneously as soon as possible.If all else fails, the last thing the nurse could try is.

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:

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