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:

The medication, Methylergonovine 0.2mg IM, is contraindicated due to the client's blood pressure. The patient's blood pressure reading is 155/95 mmHg, which indicates hypertension (high blood pressure). Methylergonovine is a medication used to manage postpartum hemorrhage by causing uterine contractions and reducing bleeding. However, it is contraindicated in patients with hypertension because it can significantly raise blood pressure, leading to complications such as stroke, heart attack, or hypertensive crisis. Administering this medication to a patient with high blood pressure can worsen their condition and pose serious risks.

Choice B rationale:

The multigravity (G-5) of the client (having had 5 pregnancies) is not a contraindication for Methylergonovine. The number of pregnancies a patient has had does not impact the contraindication criteria for this medication.

Choice C rationale:

The client's drug allergy to penicillin is not a contraindication for Methylergonovine. Allergies to specific medications do not affect the use of Methylergonovine for postpartum hemorrhage.

Choice D rationale:

The client's heart rate, which is not provided in the medical chart, does not directly contraindicate Methylergonovine. However, hypertension (elevated blood pressure) is the primary concern in this scenario, making choice A the correct answer.

A. only in the third trimester from the maternal circulation. B. by a needlestick injury at birth from unsterile instruments. C. only through the ingestion of amniotic fluid. D. through the ingestion of breast milk from an infected mother.

Correct Answer is D

Explanation

Choice A rationale:

Perinatal transmission of HIV can occur not only in the third trimester but also during labor and delivery. It is not limited to the maternal circulation alone.

Choice B rationale:

While needlestick injuries are a potential risk for healthcare workers, perinatal transmission to the newborn does not occur through this route.

Choice C rationale:

HIV is not transmitted through the ingestion of amniotic fluid. The virus can be present in the amniotic fluid, but the main route of transmission to the newborn is during delivery or through breastfeeding.

Choice D rationale:

The correct answer. HIV can be transmitted from an infected mother to her child through breastfeeding if appropriate antiretroviral therapy is not administered. Breast milk can contain the virus, putting the infant at risk of infection. Therefore, in cases where the mother is HIV-positive, formula feeding is recommended to prevent transmission of the virus to the newborn.

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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

Correct Answer is A

Explanation

Human immunodeficiency virus (HIV) may be perinatally transmitted.

Correct Answer is D

Explanation

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