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 B

Explanation

a. Not every woman ovulates on day 14 of her cycle, and the basal temperature only rises after ovulation, not before.
b. The basal temperature is the lowest body temperature during a 24-hour period.

It is usually measured first thing in the morning before any physical activity or eating. The basal temperature can indicate when a woman is ovulating, as it tends to rise slightly (about 0.5°F or 0.3°C) after ovulation and remain elevated until the next menstrual period. By tracking the basal temperature over several cycles, a woman can identify her most fertile days and plan accordingly.
c. Intercourse can affect the body temperature and give a false reading.

d. The basal temperature is influenced by factors such as food, drink, stress, and activity, so it should be measured before any of these occur.

A. January 16, 2023 B. January 14, 2023 C. January 22, 2023 D. January 18, 2023

Correct Answer is D

Explanation

a. Ovulation typically occurs around 14 days before the start of the next menstrual period. For a 30-day cycle, ovulation would typically occur around day 16 of the cycle.
b. Ovulation typically occurs around 14 days before the start of the next menstrual period. For a 30-day cycle, ovulation would typically occur around day 16 of the cycle.
c. Ovulation typically occurs around 14 days before the start of the next menstrual period. For a 30-day cycle, ovulation would typically occur around day 16 of the cycle.
d. If the woman has a 30-day cycle, she can expect to ovulate on day 16 of her cycle, which is January 18, 2023.

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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

A nurse is instructing a female client about how to check the basal temperature in order to determine if the client is ovulating. The nurse should instruct the client to check her temperature at which of the following times?

Correct Answer is B

Explanation

A female patient reports her menstrual cycle consistently occurs every 30 days. Her period started on January 2, 2023. What day of her cycle can the woman anticipate the ovulation day? Select one:

Correct Answer is D

Explanation

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Preconception counseling is critical to the outcome of diabetic pregnancies because poor glycemic control before and during early pregnancy increase the incidence of Select one:

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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: