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 A
Explanation
a. The vaginal sponge has been associated with an increased risk of toxic shock syndrome (TSS), so it should be avoided in women with a history of TSS.
b. Abstinence is a highly effective contraceptive method but may not be practical for all couples.
c. This method is not as effective as other contraceptive methods and may not be practical for all couples.
d. Hormonal contraceptives are generally safe for women with a history of TSS and are an effective method of contraception.
Correct Answer is B
Explanation
a. This is a common symptom in early pregnancy and is not specific to a hydatidiform mole.
b. This finding suggests that the uterus is larger than expected for the gestational age and may indicate a hydatidiform mole.
c. This is a normal finding in pregnancy and is not specific to a hydatidiform mole.
d. This is a normal blood pressure and is not specific to a hydatidiform mole.
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