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","D","E"]

Explanation

The correct answer ischoices A, C, D, and E.

Choice A rationale:

A respiratory rate of 36 breaths/minute at rest is concerning in a pediatric client, as it may indicate respiratory distress or an underlying respiratory condition.

Choice B rationale:

An increasing appetite is generally a positive sign and not typically concerning unless accompanied by other symptoms.

Choice C rationale:

A temperature above 37.7° C (100° F) is concerning as it indicates fever, which could be a sign of infection or other medical conditions.

Choice D rationale:

New, frequent coughing is concerning as it may indicate respiratory infections, asthma, or other respiratory issues.

Choice E rationale:

Turning blue or bluer than normal (cyanosis) is a serious symptom indicating inadequate oxygenation and requires immediate medical attention.

A. Fever as high as 40° C (104° F). B. Severe pain in the ear. C. Nausea and vomiting. D. A feeling of fullness in the ear.

Correct Answer is D

Explanation

Choice A rationale:
Fever as high as 40° C (104° F). Fever is not typically a common sign or symptom of chronic otitis media with effusion (OME). Chronic OME is characterized by the presence of fluid in the middle ear without signs of acute infection. While fever might occur in acute otitis media, it is not a typical feature of chronic OME.
Choice B rationale:
Severe pain in the ear. Severe pain in the ear is more commonly associated with acute otitis media rather than chronic otitis media with effusion. Chronic OME usually presents with a sensation of fullness or hearing loss in the affected ear due to the accumulation of fluid in the middle ear, but it does not cause severe ear pain.
Choice C rationale:
Nausea and vomiting. Nausea and vomiting are not typical signs or symptoms of chronic otitis media with effusion. These symptoms are more likely to occur in conditions affecting the inner ear or vestibular system, not in chronic OME.
Choice D rationale:
A feeling of fullness in the ear. A feeling of fullness in the ear is a common sign of chronic otitis media with effusion. The accumulation of fluid in the middle ear can cause a sense of fullness or pressure in the affected ear. This sensation might be accompanied by mild hearing loss.

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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 nurse is conducting discharge teaching to parents about the care of their infant after cardiac surgery. The nurse instructs the parents to notify the physician of what conditions occur. (Select all that apply.).

Correct Answer is ["C","D","E"]

Explanation

A nurse providing care to a child diagnosed with chronic otitis media with effusion (OME) will assess for which sign/symptom?

Correct Answer is D

Explanation

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