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:
Frequent episodes of maternal hypoglycemia
Hyperemesis gravidarum.
Low birth weight
Congenital anomalies in the fetus
Correct Answer : D
a. This is a potential complication of diabetes during pregnancy but is not a primary reason for preconception counseling.
b. This is a potential complication of pregnancy but is not a primary reason for preconception counseling.
c. This is a potential complication of diabetes during pregnancy but is not a primary reason for preconception counseling.
d. Poor glycemic control before and during early pregnancy can increase the risk of birth defects in the fetus, making preconception counseling critical for women with diabetes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a. Idiopathic thrombocytopenia is a condition characterized by a low platelet count without an identifiable cause, which is not the case in this scenario.
b. Disseminated intravascular coagulation (DIC) is a condition characterized by widespread activation of the clotting system, which is not the case in this scenario.
c. HELLP syndrome is a serious complication of preeclampsia characterized by hemolysis, elevated liver enzymes, and low platelet count.
d. Eclampsia is a severe complication of preeclampsia characterized by seizures, which is not the case in this scenario.
Correct Answer is B
Explanation
a. Maternal hypotension is not a common side effect of terbutaline, which is a beta-adrenergic agonist that can cause tachycardia and hypertension.
b. Pulmonary edema is a serious complication of terbutaline therapy, which can cause fluid overload, dyspnea, chest pain, and crackles in the lungs. The nurse should monitor the woman's vital signs, oxygen saturation, urine output, and lung sounds, and report any signs of pulmonary edema to the physician immediately.
c. Fetal bradycardia is not related to terbutaline, which can cause fetal tachycardia.
d. Fetal hypokalemia is also not associated with terbutaline, which can cause maternal hypokalemia due to increased potassium uptake by the cells.
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