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. Variable decelerations occur due to umbilical cord compression, typically when the cord is compressed during contractions or when the cord is wrapped around the fetal neck or body.
b. Early decelerations are typically related to fetal head compression and are not associated with variable decelerations.
c. Late decelerations are caused by uteroplacental insufficiency and are not associated with variable decelerations.
d. IV narcotic analgesics can cause late decelerations, not variable decelerations.
Correct Answer is A
Explanation
a. Certain anticonvulsants, such as phenytoin and carbamazepine, can decrease the effectiveness of COCs.
b. Antihypertensives do not typically interfere with the effectiveness of COCs.
c. Antioxidants do not typically interfere with the effectiveness of COCs.
d. Antiemetics do not typically interfere with the effectiveness of COCs.
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