Metabolic changes throughout pregnancy that affect glucose and insulin in the mother and the fetus are complicated but its important to understand. Nurses should understand that:

Select one:

Second and third trimesters insulin needs increase because the placenta is fully developed.

Women with insulin-dependent diabetes are prone to hyperglycemia at all times during the first trimester because they are consuming more simple sugar.

Maternal insulin requirements are never modified during pregnancies.

Insulin crosses the placenta to the fetus only in the first trimester, after which the fetus secretes its own.

Answer and Explanation

The Correct Answer is A

a.   As the placenta grows and becomes more metabolically active, it produces hormones that increase insulin resistance, leading to an increased need for insulin.
b.   Women with insulin-dependent diabetes may be prone to hyperglycemia during pregnancy, but it is not due to consuming more simple sugar.
c.   Maternal insulin requirements often increase during pregnancy due to increased insulin resistance.

d.   Insulin crosses the placenta throughout pregnancy, and the fetus does not secrete its own insulin until after birth.

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Correct Answer is C

Explanation

a. This is an incorrect interpretation of the assessment.
b. This is an incorrect interpretation of the assessment.
c. This is the correct interpretation of the assessment indicating that the labor is progressing well and the baby is descending into the pelvis.
d. This is an incorrect interpretation of the assessment.

A. Inform the test as reactive. B. Tum the client onto her left side and repeat the test C. Encourage the client to walk around and repeat the test D. d Notify to the client's provider and prepare for induction of labor. E. Offer the client a snack of orange juice and repeat the test

Correct Answer is A

Explanation

a. The nonstress test is considered reactive if there are two or more accelerations of the fetal heart rate (FHR) in a 20-minute period, lasting 15 seconds or longer and peaking at least 15 beats per minute above the baseline. The FHR baseline is between 110 and 160 beats per minute, with moderate variability. The test is considered nonreactive if these criteria are not met.
b. Turning the client onto her left side is not necessary, as the test is already reactive.
c. Encouraging the client to walk around is not necessary, as the test is already reactive.
d. Notifying the client's provider and preparing for induction of labor is not necessary, as the test is already reactive.
e. Offering the client a snack of orange juice is not necessary, as the test is already reactive.

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Metabolic changes throughout pregnancy that affect glucose and insulin in the mother and the fetus are complicated but its important to understand. Nurses should understand that: Select one:

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Naxlex Comprehensive Predictor Exams

The nurse has received a report regarding her patient in labor. The woman's last vaginal examination was recorded as 2 cm, 80%, and +2. The nurse's interpretation of this assessment is that: Select one:

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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Metabolic changes throughout pregnancy that affect glucose and insulin in the mother and the fetus are complicated but its important to understand. Nurses should understand that:

Select one: