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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a. Suctioning the mouth during a seizure can increase the risk of injury and is not recommended.
b. The primary duty of the nurse during a seizure is to ensure the safety of the client by staying with them and calling for assistance.
c. Inserting an oral airway during a seizure is not appropriate and can increase the risk of injury.
d. Administering oxygen may be necessary after the seizure has ended, but the primary duty during the seizure is to ensure safety.
Correct Answer is B
Explanation
a. This does not follow the Nagele's rule.
b. Nagele's rule is a method to estimate the expected delivery date by adding 7 days and subtracting 3 months from the first day of the last normal menstrual period. In this case, adding 7 days to March 13 gives March 20, and subtracting 3 months gives December 20. Then, adding one year gives December 20, 2022.
c. This does not follow the Nagele's rule.
d. This does not follow the Nagele's rule.
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