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 A

Explanation

a. Amenorrhea, or the absence of menstrual periods, is a presumptive sign of pregnancy that occurs around the time of implantation of the fertilized egg.
b. A positive pregnancy test is a probable sign of pregnancy that can occur as early as 7-10 days after conception.
c. Chadwick's sign, or the bluish discoloration of the cervix and vagina, is a probable sign of pregnancy that typically occurs around 6-8 weeks of gestation.
d. Hegar's sign, or the softening of the lower uterine segment, is a probable sign of pregnancy that typically occurs around 6-12 weeks of gestation.

A. Fertilization takes place in the outer third of the fallopian tube B. Sperm remain viable in the woman's reproductive tract for 2 to 3 days C. Implantation occurs between 3 and 4 weeks after conception D. Bleeding or spotting can accompany implantation

Correct Answer is C

Explanation

a. This is a correct statement. Fertilization takes place in the outer third of the fallopian tube.
b. This is a correct statement.

c. Implantation usually occurs about 6 to 10 days after fertilization, which means it happens between 2 and 3 weeks after conception.
d. This is a correct statement.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A woman at 10 weeks of gestation who is seen in the prenatal clinic with presumptive signs and symptoms of pregnancy likely will have:

Correct Answer is A

Explanation

A nurse in a prenatal clinic overhears a newly licensed nurse discussing conception with a client. Which of the following statements by the newly licensed nurse requires intervention by the nurse?

Correct Answer is C

Explanation

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A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse locates the fetal heart tones above the client's umbilicus, at the midline. The nurse should suspect that the fetus is in which of the following presentation?

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The nurse is providing sexual education to a group of high school students. What will the nurse explain is the most effective choice of birth control for preventing pregnancy and sexually transmitted diseases? Select one:

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: